Adeola, Tolulola Omololu

Adeola, Tolulola Omololu is an individual health care provider with primary practice located at 1370 W D St , North Wilkesboro NC 28659-3506. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is his primary health care specialty. Adeola, Tolulola Omololu can be contacted via phone (336) 716-2255.

Contact Information

Primary practice address
1370 W D St North Wilkesboro NC 28659-3506
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 200400005 North Carolina
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 23570 South Carolina
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 23570 South Carolina
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 200400005 North Carolina

Profile Details

NPI number 1578582797
LBN Legal business name Adeola, Tolulola Omololu
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 19th, 2006
Last updated Jun 8th, 2021 - about 3 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 1578582797 NPPES
North Carolina MEDICAID 1578582797
North Carolina MEDICAID 235702
North Carolina MEDICAID 23570

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