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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1497017867 NPPES
Kentucky MEDICAID 7100257450
Kentucky MEDICAID 201397580

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