Adeniran, Janelle Marie Fassbender
Adeniran, Janelle Marie Fassbender is an sole proprietor health care provider with primary practice located at 1935 Bluegrass Ave Ste 200 , Louisville KY 40215. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Ophthalmology, Allopathic & Osteopathic Physicians / Retina Specialist. Allopathic & Osteopathic Physicians / Ophthalmology is her primary health care specialty. Adeniran, Janelle Marie Fassbender can be contacted via phone (502) 364-0033.Contact Information
Primary practice address
1935 Bluegrass Ave Ste 200
Louisville KY 40215
Phone: (502) 364-0033
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 01080878A | Indiana |
| Allopathic & Osteopathic Physicians / Retina Specialist | 207WX0107X | 49029 | Kentucky |
| Allopathic & Osteopathic Physicians / Retina Specialist | 207WX0107X | 01080878A | Indiana |
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 49029 | Kentucky |
Profile Details
| NPI number | 1497017867 |
|---|---|
| LBN Legal business name | Adeniran, Janelle Marie Fassbender |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 12th, 2012 |
| Last updated | Aug 20th, 2020 - about 4 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 | 1497017867 | NPPES |
| Kentucky | MEDICAID | 7100257450 | |
| Kentucky | MEDICAID | 201397580 |
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