Gbadamosi, Mobolanle O

Gbadamosi, Mobolanle O is an individual health care provider with primary practice located at 4761 Ward Blvd , Wilson NC 27893-4359. She recently has only one registered license in Allopathic & Osteopathic Physicians / Geriatric Medicine, which is considered as her primary health care specialty. Gbadamosi, Mobolanle O can be contacted via phone (252) 399-2112.

Contact Information

Primary practice address
4761 Ward Blvd Wilson NC 27893-4359
Phone: (252) 399-2112
Fax: (252) 399-2132
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Geriatric Medicine 207RG0300X 200901445 North Carolina

Profile Details

NPI number 1699009704
LBN Legal business name Gbadamosi, Mobolanle O
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 22nd, 2009
Last updated Dec 17th, 2020 - about 5 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 1699009704 NPPES
North Carolina Other 157VR BLUE CROSS BLUE SHIELD
North Carolina Other 3131766 BLUE CROSS BLUE SHIELD
North Carolina MEDICAID 5913338 BLUE CROSS BLUE SHIELD

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