Eno, Edem

Eno, Edem is an individual health care provider with primary practice located at 701 W Arbor Vitae St , Inglewood CA 90301-3107. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Eno, Edem can be contacted via phone (310) 673-9925.

Contact Information

Primary practice address
701 W Arbor Vitae St Inglewood CA 90301-3107
Phone: (310) 673-9925
Fax: (310) 673-9927
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X

Profile Details

NPI number 1801996723
LBN Legal business name Eno, Edem
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 22nd, 2006
Last updated Jul 9th, 2007 - about 18 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 1801996723 NPPES
California MEDICAID DME02592G

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