Adegboyega, Patrick A

Adegboyega, Patrick A is an individual health care provider with primary practice located at 1501 Kings Hwy Department Of Pathology, Shreveport LA 71103-4228. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as his primary health care specialty. Adegboyega, Patrick A can be contacted via phone (318) 675-7737.

Contact Information

Primary practice address
1501 Kings Hwy Department Of Pathology Shreveport LA 71103-4228
Phone: (318) 675-7737
Fax: (318) 675-5666
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X 200683 Louisiana

Profile Details

NPI number 1750315693
LBN Legal business name Adegboyega, Patrick A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 10th, 2006
Last updated Jul 13th, 2007 - about 18 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 1750315693 NPPES
Louisiana MEDICAID 1355526

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