Fagbongbe, Eniola O
Fagbongbe, Eniola O is an individual health care provider with primary practice located at 200 1St St Sw , Rochester MN 55905-0001. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Fagbongbe, Eniola O can be contacted via phone (507) 284-2511.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | 66741 | Minnesota |
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | 00023921 | Alabama |
Profile Details
| NPI number | 1790737807 |
|---|---|
| LBN Legal business name | Fagbongbe, Eniola O |
| Credentials | M.D, MBA |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 17th, 2006 |
| Last updated | Jan 10th, 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 | 1790737807 | NPPES |
| Alabama | MEDICAID | 540091003 |
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