Adjei, Abdul Mutalib
Adjei, Abdul Mutalib is an individual health care provider with primary practice located at 1000 East Mountain Blvd. , Wilkes-Barre PA 18711-3486. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Adjei, Abdul Mutalib can be contacted via phone (570) 808-6150.Contact Information
Primary practice address
1000 East Mountain Blvd.
Wilkes-Barre PA 18711-3486
Phone: (570) 808-6150
Fax: (570) 808-6174
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | MD442429 | Pennsylvania |
Profile Details
| NPI number | 1639351760 |
|---|---|
| LBN Legal business name | Adjei, Abdul Mutalib |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 30th, 2007 |
| Last updated | Aug 26th, 2020 - about 4 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 | 1639351760 | NPPES |
| Pennsylvania | MEDICAID | 102926732 |
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