Adepoju, Bolanle Adeola

Adepoju, Bolanle Adeola is an individual health care provider with primary practice located at 200 High Park Ave , Goshen IN 46526-4810. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Medical Oncology, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Medical Oncology is her primary health care specialty. Adepoju, Bolanle Adeola can be contacted via phone (574) 364-2888.

Contact Information

Primary practice address
200 High Park Ave Goshen IN 46526-4810
Phone: (574) 364-2888
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Medical Oncology 207RX0202X 01073993 Indiana
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 01073993 Indiana

Profile Details

NPI number 1811296668
LBN Legal business name Adepoju, Bolanle Adeola
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 18th, 2011
Last updated Aug 8th, 2023 - about 3 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 1811296668 NPPES
Indiana MEDICAID 300037888

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