Adesanya, Ebun Sola

Adesanya, Ebun Sola is an sole proprietor health care provider with primary practice located at 110 50 213 Street , Queens NY 11429. She recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as her primary health care specialty. Adesanya, Ebun Sola can be contacted via phone (718) 465-4103.

Contact Information

Primary practice address
110 50 213 Street Queens NY 11429
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X 258157-1 New York

Profile Details

NPI number 1073702650
LBN Legal business name Adesanya, Ebun Sola
Credentials Licensed Practical Nurse (LPN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 18th, 2007
Last updated Aug 18th, 2008 - about 16 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 1073702650 NPPES
New York MEDICAID 02909819

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