Provider Demographics
NPI:1467699850
Name:OGBEBOR, OVENSERI VEN (LPN)
Entity Type:Individual
Prefix:MR
First Name:OVENSERI
Middle Name:VEN
Last Name:OGBEBOR
Suffix:
Gender:M
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2484 BYERS RIDGE DR
Mailing Address - Street 2:
Mailing Address - City:MIAMISBURG
Mailing Address - State:OH
Mailing Address - Zip Code:45342-6758
Mailing Address - Country:US
Mailing Address - Phone:513-503-0747
Mailing Address - Fax:937-530-2030
Practice Address - Street 1:2484 BYERS RIDGE DR
Practice Address - Street 2:
Practice Address - City:MIAMISBURG
Practice Address - State:OH
Practice Address - Zip Code:45342-6758
Practice Address - Country:US
Practice Address - Phone:513-503-0747
Practice Address - Fax:937-530-2030
Is Sole Proprietor?:Yes
Enumeration Date:2009-01-07
Last Update Date:2019-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHPN.133179164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse