Oguntuase, Ebenezer
Oguntuase, Ebenezer is an sole proprietor health care provider with primary practice located at 611 E Landis Ave , Vineland NJ 08360-8004. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Oguntuase, Ebenezer can be contacted via phone (856) 794-2100.Contact Information
Primary practice address
611 E Landis Ave
Vineland NJ 08360-8004
Phone: (856) 794-2100
Fax: (856) 794-2120
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 40QA00598500 | New Jersey |
Profile Details
| NPI number | 1619942695 |
|---|---|
| LBN Legal business name | Oguntuase, Ebenezer |
| Credentials | Registered Physical Therapist (RPT) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 22nd, 2006 |
| Last updated | May 11th, 2011 - about 14 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 | 1619942695 | NPPES |
| New Jersey | Other | 2115735000 | AMERIHEALTH |
| New Jersey | Other | 532743 | AMERIHEALTH |
| New Jersey | Other | 1000146 | AMERIHEALTH |
| New Jersey | Other | P00040938 | AMERIHEALTH |
| New Jersey | Other | 5294643 | AMERIHEALTH |
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