Adegboye, Matthew
Adegboye, Matthew is an sole proprietor health care provider with primary practice located at 5100 W Broad St , Columbus OH 43228-1607. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Adegboye, Matthew can be contacted via phone (614) 544-2058.Contact Information
Primary practice address
5100 W Broad St
Columbus OH 43228-1607
Phone: (614) 544-2058
Fax: (614) 544-2444
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 34.013110 | Ohio |
Profile Details
| NPI number | 1881071827 |
|---|---|
| LBN Legal business name | Adegboye, Matthew |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 29th, 2015 |
| Last updated | Nov 7th, 2019 - about 7 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 | 1881071827 | NPPES |
| Ohio | MEDICAID | 0292064 |
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