Adedokun, Joseph Olatunde

Adedokun, Joseph Olatunde is an sole proprietor health care provider with primary practice located at 432 E Long Ave Ste 1 , Gastonia NC 28054-2540. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Adedokun, Joseph Olatunde can be contacted via phone (704) 854-9595.

Contact Information

Primary practice address
432 E Long Ave Ste 1 Gastonia NC 28054-2540
Phone: (704) 854-9595
Fax: (704) 852-4488
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X LCAS North Carolina

Profile Details

NPI number 1760542062
LBN Legal business name Adedokun, Joseph Olatunde
Credentials LCAS
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 11th, 2006
Last updated Jul 9th, 2007 - about 18 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1760542062 NPPES
North Carolina MEDICAID 6111767

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