Odunusi, Ebenezer
Odunusi, Ebenezer is an individual health care provider with primary practice located at 44469 10Th St W , Lancaster CA 93534-3324. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Odunusi, Ebenezer can be contacted via phone (661) 945-9411.Contact Information
Primary practice address
44469 10Th St W
Lancaster CA 93534-3324
Phone: (661) 945-9411
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | A82385 | California |
Profile Details
| NPI number | 1891728663 |
|---|---|
| LBN Legal business name | Odunusi, Ebenezer |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 7th, 2006 |
| Last updated | Apr 21st, 2020 - about 4 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 | 1891728663 | NPPES |
| California | MEDICAID | HSP40248F |
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