Tijani, Adisa A
Tijani, Adisa A is an sole proprietor health care provider with primary practice located at 9319 Lbj Fwy Ste 208G, Dallas TX 75243-3450. He recently has only one registered license in Suppliers / Durable Medical Equipment & Medical Supplies, which is considered as his primary health care specialty. Tijani, Adisa A can be contacted via phone (214) 575-0666.Contact Information
Primary practice address
9319 Lbj Fwy Ste 208G
Dallas TX 75243-3450
Phone: (214) 575-0666
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | 0066978 | Texas |
Profile Details
NPI number | 1700054665 |
---|---|
LBN Legal business name | Tijani, Adisa A |
Credentials | |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Feb 13th, 2008 |
Last updated | Feb 13th, 2008 - about 17 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 | 1700054665 | NPPES |
Texas | MEDICAID | 173760303 | |
Texas | MEDICAID | 173760301 | |
Texas | Other | 531586 | |
Texas | MEDICAID | 1628794 | |
Texas | MEDICAID | 173760302 |
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