Mobolaji, Bola T

Mobolaji, Bola T is an individual health care provider with primary practice located at 10201 Grand Central Ave , Owings Mills MD 21117-3994. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Primary Care, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Mobolaji, Bola T can be contacted via phone (860) 371-7067.

Contact Information

Primary practice address
10201 Grand Central Ave Owings Mills MD 21117-3994
Phone: (860) 371-7067
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X SP017427 Pennsylvania
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X SP023111 Pennsylvania

Profile Details

NPI number 1861921900
LBN Legal business name Mobolaji, Bola T
Credentials CRNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 11th, 2017
Last updated Mar 24th, 2026 - about 7 months 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 1861921900 NPPES
Pennsylvania MEDICAID SP017427

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