Odubogun, Olamide
Odubogun, Olamide is an individual health care provider with primary practice located at 618 Cornwall Rd Building 2, Lebanon PA 17042-7089. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatrics is his primary health care specialty. Odubogun, Olamide can be contacted via phone (717) 279-6700.Contact Information
Primary practice address
618 Cornwall Rd Building 2
Lebanon PA 17042-7089
Phone: (717) 279-6700
Fax: (717) 279-6759
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | MD454061 | Pennsylvania |
Profile Details
| NPI number | 1174885834 |
|---|---|
| LBN Legal business name | Odubogun, Olamide |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 8th, 2012 |
| Last updated | Jul 31st, 2015 - about 11 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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