Adeola, Tolulola Omololu
Adeola, Tolulola Omololu is an individual health care provider with primary practice located at 1370 W D St , North Wilkesboro NC 28659-3506. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is his primary health care specialty. Adeola, Tolulola Omololu can be contacted via phone (336) 716-2255.Contact Information
Primary practice address
1370 W D St
North Wilkesboro NC 28659-3506
Phone: (336) 716-2255
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 200400005 | North Carolina |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 23570 | South Carolina |
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | 23570 | South Carolina |
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | 200400005 | North Carolina |
Profile Details
| NPI number | 1578582797 |
|---|---|
| LBN Legal business name | Adeola, Tolulola Omololu |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 19th, 2006 |
| Last updated | Jun 8th, 2021 - about 5 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 | 1578582797 | NPPES |
| North Carolina | MEDICAID | 1578582797 | |
| North Carolina | MEDICAID | 235702 | |
| North Carolina | MEDICAID | 23570 |
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