Balogun, Bolanle Maryam
Balogun, Bolanle Maryam is an individual health care provider with primary practice located at 2505 Laporte Ave , Valparaiso IN 46383-6994. She recently has only one registered license in Dental Providers / Dentist, which is considered as her primary health care specialty. Balogun, Bolanle Maryam can be contacted via phone (219) 246-5703.Contact Information
Primary practice address
2505 Laporte Ave
Valparaiso IN 46383-6994
Phone: (219) 246-5703
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 12012131A | Indiana |
Profile Details
| NPI number | 1730591686 |
|---|---|
| LBN Legal business name | Balogun, Bolanle Maryam |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 27th, 2014 |
| Last updated | May 27th, 2014 - about 10 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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