Adetula, Michael O

Adetula, Michael O is an individual health care provider with primary practice located at 777 E Wheatland Road Suite 100, Duncanville TX 75116. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Adetula, Michael O can be contacted via phone (972) 572-1939.

Contact Information

Primary practice address
777 E Wheatland Road Suite 100 Duncanville TX 75116
Phone: (972) 572-1939
Fax: (972) 572-9990
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 19614 Texas

Profile Details

NPI number 1669559696
LBN Legal business name Adetula, Michael O
Credentials PHD RPH
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 1st, 2006
Last updated Jul 8th, 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 1669559696 NPPES
Louisiana MEDICAID 1245160

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