Ogunsakin, Mobolaji O

Ogunsakin, Mobolaji O is an sole proprietor health care provider with primary practice located at 1420 Watson Blvd , Warner Robins GA 31093-3446. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Infectious Disease. Allopathic & Osteopathic Physicians / Infectious Disease is his primary health care specialty. Ogunsakin, Mobolaji O can be contacted via phone (478) 922-5122.

Contact Information

Primary practice address
1420 Watson Blvd Warner Robins GA 31093-3446
Fax: (478) 922-5221
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 055136 Georgia
Allopathic & Osteopathic Physicians / Infectious Disease 207RI0200X 055136 Georgia

Profile Details

NPI number 1871607226
LBN Legal business name Ogunsakin, Mobolaji O
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 19th, 2006
Last updated Jun 30th, 2009 - about 17 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 1871607226 NPPES
Georgia MEDICAID 721242214A

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