Amon, Bolanle Tinuke

Amon, Bolanle Tinuke is an sole proprietor health care provider with primary practice located at 725 Wicker Ave Suite 202, Bensalem PA 19020-7251. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Amon, Bolanle Tinuke can be contacted via phone (215) 639-4646.

Contact Information

Primary practice address
725 Wicker Ave Suite 202 Bensalem PA 19020-7251
Phone: (215) 639-4646
Fax: (215) 639-2323
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 568664 Pennsylvania
Nursing Service Providers / Registered Nurse 163W00000X 26NR11110200 New Jersey
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X SP012757 Pennsylvania

Profile Details

NPI number 1972948966
LBN Legal business name Amon, Bolanle Tinuke
Credentials FCNP
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 3rd, 2013
Last updated May 3rd, 2013 - about 12 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 1972948966 NPPES
Pennsylvania Other 017673 PRESCRIPTIVE AUTHORITY (BUREAU OF PROFESSIONAL & OCCUPATIONAL AFFAIRS)
Pennsylvania Other SP012757 PRESCRIPTIVE AUTHORITY (BUREAU OF PROFESSIONAL & OCCUPATIONAL AFFAIRS)
Pennsylvania Other 568664 PRESCRIPTIVE AUTHORITY (BUREAU OF PROFESSIONAL & OCCUPATIONAL AFFAIRS)

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