Abodakpi, Wonder D
Abodakpi, Wonder D is an individual health care provider with primary practice located at 4122 W 55Th Place South Suite 119, Tulsa OK 74107-9108. He recently has only one registered license in Other Service Providers / Case Manager/Care Coordinator, which is considered as his primary health care specialty. Abodakpi, Wonder D can be contacted via phone (918) 791-0026.Contact Information
Primary practice address
4122 W 55Th Place South Suite 119
Tulsa OK 74107-9108
Phone: (918) 791-0026
Fax: (800) 260-7966
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Case Manager/Care Coordinator | 171M00000X | 303065 | Oklahoma |
Profile Details
| NPI number | 1699072116 |
|---|---|
| LBN Legal business name | Abodakpi, Wonder D |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 17th, 2011 |
| Last updated | Sep 24th, 2014 - about 10 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1699072116 | NPPES |
| Oklahoma | MEDICAID | 200435470B |
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