Adibe, Sebastian O.
Adibe, Sebastian O. is an sole proprietor health care provider with primary practice located at 142 Palisade Ave Suite 212, Jersey City NJ 07306-1133. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Adibe, Sebastian O. can be contacted via phone (201) 792-1555.Contact Information
Primary practice address
142 Palisade Ave Suite 212
Jersey City NJ 07306-1133
Phone: (201) 792-1555
Fax: (201) 792-1030
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Other Service Providers / Specialist | 174400000X | 25MA03273600 | New Jersey |
Profile Details
NPI number | 1568494961 |
---|---|
LBN Legal business name | Adibe, Sebastian O. |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jul 7th, 2006 |
Last updated | Jul 9th, 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1568494961 | NPPES |
New Jersey | MEDICAID | 085 9303 |
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