Adesola, Modupe

Adesola, Modupe is an individual health care provider with primary practice located at 4301 Wilson St , Fort Sill OK 73503-4472. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Adesola, Modupe can be contacted via phone (580) 558-8242.

Contact Information

Primary practice address
4301 Wilson St Fort Sill OK 73503-4472
Phone: (580) 558-8242
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 3010425 Kentucky

Profile Details

NPI number 1184076770
LBN Legal business name Adesola, Modupe
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 7th, 2016
Last updated Oct 3rd, 2019 - 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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