Agboola, Kazeem
Agboola, Kazeem is an sole proprietor health care provider with primary practice located at 14058 W Mcnichols Rd , Detroit MI 48235-3928. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic, which is considered as his primary health care specialty. Agboola, Kazeem can be contacted via phone (313) 659-6847.Contact Information
Primary practice address
14058 W Mcnichols Rd
Detroit MI 48235-3928
Phone: (313) 659-6847
Fax: (313) 659-6867
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic | 2251X0800X | 5501006794 | Michigan |
Profile Details
| NPI number | 1972960821 |
|---|---|
| LBN Legal business name | Agboola, Kazeem |
| Credentials | DPT |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 23rd, 2016 |
| Last updated | Jan 23rd, 2016 - about 9 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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