Okelana, Eniola Adebayo
Okelana, Eniola Adebayo is an sole proprietor health care provider with primary practice located at 433B S Sycamore St , Petersburg VA 23803-5042. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pulmonary Disease, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Pulmonary Disease is his primary health care specialty. Okelana, Eniola Adebayo can be contacted via phone (804) 732-0248.Contact Information
Primary practice address
433B S Sycamore St
Petersburg VA 23803-5042
Phone: (804) 732-0248
Fax: (804) 732-8475
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | 0101052627 | Virginia |
Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 0101052627 | Virginia |
Profile Details
NPI number | 1609856566 |
---|---|
LBN Legal business name | Okelana, Eniola Adebayo |
Credentials | MD, FCCP |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jan 18th, 2006 |
Last updated | Jan 12th, 2021 - about 3 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 | 1609856566 | NPPES |
Virginia | MEDICAID | 010195489 |
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