Fadeyi, Emmanuel Adegoke

Fadeyi, Emmanuel Adegoke is an individual health care provider with primary practice located at Medical Center Blvd , Winston Salem NC 27157-0001. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Clinical Pathology, Allopathic & Osteopathic Physicians / Blood Banking & Transfusion Medicine. Allopathic & Osteopathic Physicians / Clinical Pathology is his primary health care specialty. Fadeyi, Emmanuel Adegoke can be contacted via phone (336) 716-2255.

Contact Information

Primary practice address
Medical Center Blvd Winston Salem NC 27157-0001
Phone: (336) 716-2255
Fax: (336) 716-7595
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Clinical Pathology 207ZC0006X 2007-01579 North Carolina
Allopathic & Osteopathic Physicians / Blood Banking & Transfusion Medicine 207ZB0001X 2007-01579 North Carolina

Profile Details

NPI number 1285820118
LBN Legal business name Fadeyi, Emmanuel Adegoke
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 25th, 2007
Last updated Jan 9th, 2012 - about 13 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 1285820118 NPPES
North Carolina MEDICAID 5908038
North Carolina Other 1464T

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