Bademosi, Adebayo

Bademosi, Adebayo is an individual health care provider with primary practice located at 7905 Calumet Ave , Munster IN 46321-2549. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Bademosi, Adebayo can be contacted via phone (219) 836-5800.

Contact Information

Primary practice address
7905 Calumet Ave Munster IN 46321-2549
Phone: (219) 836-5800
Fax: (219) 836-5030
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 036-101658 Illinois
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 036101658 Illinois
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 01066470A Indiana

Profile Details

NPI number 1346357076
LBN Legal business name Bademosi, Adebayo
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 25th, 2006
Last updated Mar 13th, 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 1346357076 NPPES
Indiana MEDICAID 300010994
Indiana MEDICAID 03610165801

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