Active NPIIndividual providerSole proprietor

Mr. Ebenezer Oguntuase, RPT

Physical Therapist in Vineland, New Jersey

NPI Number1619942695
Practice location
611 E Landis Ave, Vineland, NJ 08360-8004
Fax
856-794-2120
Last updated
May 11, 2011

Ebenezer Oguntuase is a Physical Therapist based in Vineland, NJ. Ebenezer Oguntuase practices in Vineland, NJ and has the professional credentials of RPT. The NPI Number for Ebenezer Oguntuase is 1619942695 and holds a License No. 40QA00598500 (NJ). The current practice location address for Ebenezer Oguntuase is 611 E Landis Ave, Vineland, NJ 08360-8004 and can be reached out via phone at 856-794-2100 and via fax at 856-794-2120.

Provider Profile Details

NPI Number
1619942695
Provider Name
Ebenezer Oguntuase
Credential
RPT
Provider Entity Type
Individual
Gender
Male
Address
611 E Landis Ave, Vineland, NJ 08360-8004
Phone Number
856-794-2100
Fax Number
856-794-2120
Primary Taxonomy
Physical Therapist · 225100000X
Sole Proprietor
Yes
Provider Enumeration Date
February 22, 2006
Last Update Date
May 11, 2011
NPI Status
Active

Provider Business Practice Location Address Details

Address
611 E Landis Ave
Vineland, NJ 08360-8004
Zip
08360-8004
Phone Number
856-794-2100
Fax Number
856-794-2120
Vineland, NJ 08360Get directions →

Provider Business Mailing Address Details

Address
611 E Landis Ave
Vineland, NJ 08360-8004
City
Vineland
State
NJ
Zip
08360-8004
Phone Number
856-794-2100
Fax Number
856-794-2120

License Information

License Number
40QA00598500
License State
NJ
Taxonomy
Physical Therapist · 225100000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Mr. Ebenezer Oguntuase, RPT?

The NPI number of Mr. Ebenezer Oguntuase, RPT is 1619942695. It was assigned on February 22, 2006 and is currently active in the NPPES registry.

What is the specialty of Mr. Ebenezer Oguntuase, RPT?

Mr. Ebenezer Oguntuase, RPT is registered under the primary taxonomy Physical Therapist (code 225100000X), licensed in NJ under license number 40QA00598500.

Where does Mr. Ebenezer Oguntuase, RPT practice?

The practice location is 611 E Landis Ave, Vineland, NJ 08360-8004. The office can be reached at 856-794-2100 (phone) or 856-794-2120 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1619942695 directly on the NPPES registry website.

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