Adewale, Benjamin A
Adewale, Benjamin A is an individual health care provider with primary practice located at 7011 Calamo St #105, Springfield VA 22150. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Adewale, Benjamin A can be contacted via phone (703) 569-8028.Contact Information
Primary practice address
7011 Calamo St #105
Springfield VA 22150
Phone: (703) 569-8028
Fax: (703) 569-8085
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | MD22004 | District of Columbia |
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | D50874 | Maryland |
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | 0101054165 | Virginia |
Profile Details
| NPI number | 1790702132 |
|---|---|
| LBN Legal business name | Adewale, Benjamin A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 15th, 2006 |
| Last updated | Jun 16th, 2018 - about 6 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1790702132 | NPPES |
| Maryland | MEDICAID | 2033020-00 | |
| Maryland | MEDICAID | 4401280 | |
| Maryland | MEDICAID | 7107820 |
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