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
Fax: (623) 925-8606
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1821413071 NPPES
Arizona MEDICAID 461868645

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