Onafowokan, Joel A

Onafowokan, Joel A is an sole proprietor health care provider with primary practice located at 3626 Latrobe Dr , Charlotte NC 28211-1388. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Addiction Medicine, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Onafowokan, Joel A can be contacted via phone (704) 366-7182.

Contact Information

Primary practice address
3626 Latrobe Dr Charlotte NC 28211-1388
Phone: (704) 366-7182
Fax: (704) 366-7184
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Addiction Medicine 2084A0401X 200401292 North Carolina
Allopathic & Osteopathic Physicians / Addiction Medicine 2084A0401X 61-2351 North Carolina
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 27357 South Carolina
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 200401292 North Carolina

Profile Details

NPI number 1790745495
LBN Legal business name Onafowokan, Joel A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 25th, 2006
Last updated Aug 3rd, 2020 - 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 1790745495 NPPES
North Carolina Other 1406K BCBS
North Carolina MEDICAID 5902366 BCBS

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