Individual
OMOROVBIYE T ODIGIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
680 CENTRE ST, BROCKTON, MA 02302-3308
(508) 894-0400
(508) 941-6200
Mailing address
680 CENTRE ST, BROCKTON, MA 02302-3308
(508) 894-0400
(508) 941-6200
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2135
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2135
LICENSE
MA
01
—
51484
LICENSE
CA
Enumeration date
09/11/2007
Last updated
05/22/2015
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us