Sogade, Bola
Sogade, Bola is an sole proprietor health care provider with primary practice located at 639 Hemlock Street Suite 101, Macon GA 31201-6889. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Sogade, Bola can be contacted via phone (478) 745-3014.Contact Information
Primary practice address
639 Hemlock Street Suite 101
Macon GA 31201-6889
Phone: (478) 745-3014
Fax: (478) 745-9887
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 047875 | Georgia |
Profile Details
| NPI number | 1558455113 |
|---|---|
| LBN Legal business name | Sogade, Bola |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 3rd, 2006 |
| Last updated | Jul 8th, 2007 - about 19 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1558455113 | NPPES |
| Georgia | MEDICAID | 836352013B | |
| Georgia | Other | 322090 |
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