Adeoti, Adekunle

Adeoti, Adekunle is an sole proprietor health care provider with primary practice located at 277 Coit St , Irvington NJ 07111-4013. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Adeoti, Adekunle can be contacted via phone (973) 676-1920.

Contact Information

Primary practice address
277 Coit St Irvington NJ 07111-4013
Fax: (973) 373-0510
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X MA61244 New Jersey

Profile Details

NPI number 1740259639
LBN Legal business name Adeoti, Adekunle
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 14th, 2006
Last updated Oct 15th, 2011 - about 14 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 1740259639 NPPES
New Jersey MEDICAID 6381103

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