Makinde, John

Makinde, John is an individual health care provider with primary practice located at 4500 S Lancaster Rd # 112A Dept , Dallas TX 75216-7167. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Makinde, John can be contacted via phone (214) 857-1817.

Contact Information

Primary practice address
4500 S Lancaster Rd # 112A Dept Dallas TX 75216-7167
Phone: (214) 857-1817
Fax: (214) 302-1306
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X

Profile Details

NPI number 1427168350
LBN Legal business name Makinde, John
Credentials DHSC, PAC
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 30th, 2006
Last updated Jan 14th, 2010 - about 15 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 1427168350 NPPES
Texas Other PA06021 LICENSE

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