Koko, Adebola A
Koko, Adebola A is an sole proprietor health care provider with primary practice located at 43875 Washington St Ste C , Palm Desert CA 92211-8249. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Koko, Adebola A can be contacted via phone (833) 935-6377.Contact Information
Primary practice address
43875 Washington St Ste C
Palm Desert CA 92211-8249
Phone: (833) 935-6377
Fax: (833) 935-6377
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 95016000 | California |
Profile Details
| NPI number | 1427652130 |
|---|---|
| LBN Legal business name | Koko, Adebola A |
| Credentials | Family Nurse Practitioner (FNP) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 23rd, 2020 |
| Last updated | Jul 7th, 2023 - about last year |
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 | 1427652130 | NPPES |
| California | Other | 95016000 | NURSE PRACTITIONER LICENSE NUMBER |
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