Adeyekun, Omobolanle Omolayo

Adeyekun, Omobolanle Omolayo is an individual health care provider with primary practice located at 2620 N. Westwood Blvd , Poplar Bluff MO 63901. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Adeyekun, Omobolanle Omolayo can be contacted via phone (573) 727-2640.

Contact Information

Primary practice address
2620 N. Westwood Blvd Poplar Bluff MO 63901
Phone: (573) 727-2640
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 2010021661 Missouri

Profile Details

NPI number 1649421934
LBN Legal business name Adeyekun, Omobolanle Omolayo
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 4th, 2008
Last updated Jan 18th, 2012 - about 14 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 1649421934 NPPES
Missouri MEDICAID 1649421934

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