Adefiyiju, Modupe O
Adefiyiju, Modupe O is an individual health care provider with primary practice located at 7055 Samuel Morse Dr , Columbia MD 21046-3439. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Adefiyiju, Modupe O can be contacted via phone (443) 739-6121.Contact Information
Primary practice address
7055 Samuel Morse Dr
Columbia MD 21046-3439
Phone: (443) 739-6121
Fax: (301) 725-0163
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | R183736 | Maryland |
Profile Details
| NPI number | 1316541824 |
|---|---|
| LBN Legal business name | Adefiyiju, Modupe O |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 24th, 2020 |
| Last updated | Jan 12th, 2021 - about 3 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.
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