Adonai, Chisara

Adonai, Chisara is an individual health care provider with primary practice located at 463646 Sr 200 West Suite 12, Yulee FL 12181-0742. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Adonai, Chisara can be contacted via phone (904) 775-3601.

Contact Information

Primary practice address
463646 Sr 200 West Suite 12 Yulee FL 12181-0742
Fax: (904) 849-1919
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 213701 New York

Profile Details

NPI number 1609873868
LBN Legal business name Adonai, Chisara
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 2nd, 2005
Last updated Dec 9th, 2021 - about 5 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1609873868 NPPES
New York MEDICAID 01946721

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