Idowu, Benedict Ekundayo
Idowu, Benedict Ekundayo is an sole proprietor health care provider with primary practice located at 3636 S Sherwood Forest Blvd Ste 650 , Baton Rouge LA 70816-5216. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Idowu, Benedict Ekundayo can be contacted via phone (225) 756-2180.Contact Information
Primary practice address
3636 S Sherwood Forest Blvd Ste 650
Baton Rouge LA 70816-5216
Phone: (225) 756-2180
Fax: (225) 756-2179
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | 021809 | Louisiana |
Profile Details
NPI number | 1134177645 |
---|---|
LBN Legal business name | Idowu, Benedict Ekundayo |
Credentials | Doctor of Osteopathy (DO) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | May 5th, 2006 |
Last updated | Oct 16th, 2023 - about 2 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1134177645 | NPPES |
Louisiana | MEDICAID | 1997561 |
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