Odetoye, Christopher
Odetoye, Christopher is an sole proprietor health care provider with primary practice located at 16870 W Woodlands Ave , Goodyear AZ 85338-6054. He recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as his primary health care specialty. Odetoye, Christopher can be contacted via phone (623) 925-8606.Contact Information
Primary practice address
16870 W Woodlands Ave
Goodyear AZ 85338-6054
Phone: (623) 925-8606
Fax: (623) 925-8606
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Behavioral Analyst | 103K00000X | BH4441 | Arizona |
Profile Details
| NPI number | 1821413071 |
|---|---|
| LBN Legal business name | Odetoye, Christopher |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 25th, 2014 |
| Last updated | May 13th, 2019 - about 6 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 | 1821413071 | NPPES |
| Arizona | MEDICAID | 461868645 |
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