Adewale, Adebisi

Adewale, Adebisi is an individual health care provider with primary practice located at 6333 Telegraph Ave , Oakland CA 94609-1359. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Adewale, Adebisi can be contacted via phone (510) 923-1099.

Contact Information

Primary practice address
6333 Telegraph Ave Oakland CA 94609-1359
Phone: (510) 923-1099
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1265075667
LBN Legal business name Adewale, Adebisi
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 18th, 2019
Last updated Oct 18th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1265075667 NPPES
California Other 000000111 MEDI-CAL

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