Adeyemi, Clemens
Adeyemi, Clemens is an individual health care provider with primary practice located at 1495 W 9Th St , Upland CA 91786-5640. He recently has only one registered license in Other Service Providers / Contractor, which is considered as his primary health care specialty. Adeyemi, Clemens can be contacted via phone (909) 210-9920.Contact Information
Primary practice address
1495 W 9Th St
Upland CA 91786-5640
Phone: (909) 210-9920
Fax: (909) 832-1008
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Contractor | 171W00000X |
Profile Details
| NPI number | 1275634149 |
|---|---|
| LBN Legal business name | Adeyemi, Clemens |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 25th, 2006 |
| Last updated | Jul 9th, 2007 - about 17 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 | 1275634149 | NPPES |
| California | MEDICAID | 43485 |
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