Akingboye, Bolanle A
Akingboye, Bolanle A is an individual health care provider with primary practice located at 1 Seymour St , Montclair NJ 07042-3771. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Akingboye, Bolanle A can be contacted via phone (973) 744-6939.Contact Information
Primary practice address
1 Seymour St
Montclair NJ 07042-3771
Phone: (973) 744-6939
Fax: (973) 744-0365
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 25MB08107100 | New Jersey |
Profile Details
| NPI number | 1376646364 |
|---|---|
| LBN Legal business name | Akingboye, Bolanle A |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 6th, 2006 |
| Last updated | Apr 21st, 2023 - about last year |
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 | 1376646364 | NPPES |
| New Jersey | Other | D08943400 | CDS |
| New Jersey | MEDICAID | 0124567 | CDS |
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