Andele, Adjoavi Fakonam

Andele, Adjoavi Fakonam is an individual health care provider with primary practice located at 1130 Professional Ct , Hagerstown MD 21740-5852. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Andele, Adjoavi Fakonam can be contacted via phone (301) 791-5555.

Contact Information

Primary practice address
1130 Professional Ct Hagerstown MD 21740-5852
Phone: (301) 791-5555
Fax: (301) 791-8104
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X D0064550 Maryland

Profile Details

NPI number 1972530202
LBN Legal business name Andele, Adjoavi Fakonam
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 26th, 2006
Last updated Dec 11th, 2019 - 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 1972530202 NPPES
Maryland Other D0064550 DHMH LICENSE

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