Botu, Bankole O

Botu, Bankole O is an sole proprietor health care provider with primary practice located at 289 Ireland Ave Bldg. 851 Wtc Unit, Fort Knox KY 40121-5111. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Botu, Bankole O can be contacted via phone (502) 624-9844.

Contact Information

Primary practice address
289 Ireland Ave Bldg. 851 Wtc Unit Fort Knox KY 40121-5111
Phone: (502) 624-9844
Fax: (502) 624-9578
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 33272 Kentucky

Profile Details

NPI number 1548210834
LBN Legal business name Botu, Bankole O
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 10th, 2006
Last updated Mar 24th, 2010 - about 16 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 1548210834 NPPES
Kentucky MEDICAID 64034242

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