Adebogun, Oladele Adepitan
Adebogun, Oladele Adepitan is an sole proprietor health care provider with primary practice located at 2620 Long Prairie Rd Ste 100 , Flower Mound TX 75022-4953. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Addiction Medicine, Allopathic & Osteopathic Physicians / Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is his primary health care specialty. Adebogun, Oladele Adepitan can be contacted via phone (972) 221-7900.Contact Information
Primary practice address
2620 Long Prairie Rd Ste 100
Flower Mound TX 75022-4953
Phone: (972) 221-7900
Fax: (972) 221-7900
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Addiction Medicine | 2084A0401X | N6128 | Texas |
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | E-1599 | Arkansas |
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | N6128 | Texas |
Profile Details
| NPI number | 1104822097 |
|---|---|
| LBN Legal business name | Adebogun, Oladele Adepitan |
| Credentials | MD. PA. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 24th, 2005 |
| Last updated | Jan 24th, 2019 - about 6 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 | 1104822097 | NPPES |
| Texas | MEDICAID | 116300726 |
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