Balogun, Khadijat Omolola
Balogun, Khadijat Omolola is an individual health care provider with primary practice located at 353 Main St , Manchester CT 06040-4145. She recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as her primary health care specialty. Balogun, Khadijat Omolola can be contacted via phone (860) 649-3477.Contact Information
Primary practice address
353 Main St
Manchester CT 06040-4145
Phone: (860) 649-3477
Fax: (860) 649-0011
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | 56518 | Connecticut |
Profile Details
| NPI number | 1124310743 |
|---|---|
| LBN Legal business name | Balogun, Khadijat Omolola |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 16th, 2011 |
| Last updated | Jul 21st, 2022 - 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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