Adomako, Petronella Agnes

Adomako, Petronella Agnes is an individual health care provider with primary practice located at 1400 S. Lake Park Avenue Ste. 305, Hobart IN 46342. She recently has only one registered license in Allopathic & Osteopathic Physicians / Infectious Disease, which is considered as her primary health care specialty. Adomako, Petronella Agnes can be contacted via phone (219) 945-1523.

Contact Information

Primary practice address
1400 S. Lake Park Avenue Ste. 305 Hobart IN 46342
Phone: (219) 945-1523
Fax: (219) 945-1284
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Infectious Disease 207RI0200X 01059890A Indiana

Profile Details

NPI number 1225131287
LBN Legal business name Adomako, Petronella Agnes
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 6th, 2006
Last updated Dec 14th, 2010 - about 14 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1225131287 NPPES
Indiana MEDICAID 200520520

Popular Providers