Kolade, Ebenezer
Kolade, Ebenezer is an sole proprietor health care provider with primary practice located at 4675 Main St , Bridgeport CT 06606-1813. He recently has only one registered license in Allopathic & Osteopathic Physicians / Addiction Medicine, which is considered as his primary health care specialty. Kolade, Ebenezer can be contacted via phone (203) 372-3333.Contact Information
Primary practice address
4675 Main St
Bridgeport CT 06606-1813
Phone: (203) 372-3333
Fax: (203) 374-7515
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Addiction Medicine | 207RA0401X | 040029 | Connecticut |
Profile Details
| NPI number | 1376618611 |
|---|---|
| LBN Legal business name | Kolade, Ebenezer |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 22nd, 2006 |
| Last updated | Jul 1st, 2024 - 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.
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