Ekunsanmi, Bamidele A

Ekunsanmi, Bamidele A is an individual health care provider with primary practice located at 1609 Constitution Blvd , Rock Hill SC 29732-3047. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Ekunsanmi, Bamidele A can be contacted via phone (803) 326-3000.

Contact Information

Primary practice address
1609 Constitution Blvd Rock Hill SC 29732-3047
Fax: (803) 326-3003
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 19921 South Carolina

Profile Details

NPI number 1932156171
LBN Legal business name Ekunsanmi, Bamidele A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 30th, 2006
Last updated Jul 8th, 2007 - about 17 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 1932156171 NPPES
South Carolina MEDICAID GP2318

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