Bankole, Adewunmi Julius

Bankole, Adewunmi Julius is an sole proprietor health care provider with primary practice located at 261 Merrymount St , Staten Island NY 10314-4850. He recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is his primary health care specialty. Bankole, Adewunmi Julius can be contacted via phone (347) 855-1908.

Contact Information

Primary practice address
261 Merrymount St Staten Island NY 10314-4850
Phone: (347) 855-1908
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 710835 New York
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X F403449 New York
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 26NJ01131600 New Jersey

Profile Details

NPI number 1912453788
LBN Legal business name Bankole, Adewunmi Julius
Credentials NURSE PRACTITIONER
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 31st, 2016
Last updated Apr 3rd, 2023 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1912453788 NPPES
New Jersey MEDICAID 0899062

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