Adeleke, Adebola

Adeleke, Adebola is an individual health care provider with primary practice located at 512 Saybrook Rd Ste 100, Middletown CT 06457-4788. He recently has 3 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, Podiatric Medicine & Surgery Service Providers / Podiatrist, Podiatric Medicine & Surgery Service Providers / Foot Surgery. Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery is his primary health care specialty. Adeleke, Adebola can be contacted via phone (860) 347-7636.

Contact Information

Primary practice address
512 Saybrook Rd Ste 100 Middletown CT 06457-4788
Phone: (860) 347-7636
Fax: (860) 894-1882
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X 945 Connecticut
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 945 Connecticut
Podiatric Medicine & Surgery Service Providers / Foot Surgery 213ES0131X 945 Connecticut

Profile Details

NPI number 1497000103
LBN Legal business name Adeleke, Adebola
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 18th, 2012
Last updated Apr 7th, 2017 - about 7 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 1497000103 NPPES
Connecticut Other 945 STATE MD LICENSE

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