Adegbite, Adekunle Samson

Adegbite, Adekunle Samson is an sole proprietor health care provider with primary practice located at 4960 Arlington Ave Ste B , Riverside CA 92504-2738. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is his primary health care specialty. Adegbite, Adekunle Samson can be contacted via phone (951) 341-8930.

Contact Information

Primary practice address
4960 Arlington Ave Ste B Riverside CA 92504-2738
Phone: (951) 341-8930
Fax: (951) 341-8932
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X NP95013014 California
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X NP95013014 California

Profile Details

NPI number 1407494735
LBN Legal business name Adegbite, Adekunle Samson
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 17th, 2019
Last updated Feb 13th, 2020 - about 5 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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Identifiers

StateTypeNumberIssuer
All States NPI 1407494735 NPPES
California Other NP95013014 STATE OF CALIFORNIA BOARD OF REGISTERED NURSING

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