Adholla, Paul Odak
Adholla, Paul Odak is an sole proprietor health care provider with primary practice located at 1520 Owen Park Ln , Fayetteville NC 28304. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Adholla, Paul Odak can be contacted via phone (910) 860-3500.Contact Information
Primary practice address
1520 Owen Park Ln
Fayetteville NC 28304
Phone: (910) 860-3500
Fax: (910) 485-3507
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 9500293 | North Carolina |
Profile Details
| NPI number | 1225019797 |
|---|---|
| LBN Legal business name | Adholla, Paul Odak |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 10th, 2005 |
| Last updated | Apr 27th, 2017 - about 7 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 | 1225019797 | NPPES |
| North Carolina | MEDICAID | 8911931 |
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