Hogan, Omodele Ibitola
Hogan, Omodele Ibitola is an individual health care provider with primary practice located at 100 N Academy Ave , Danville PA 17822-5301. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism. Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism is her primary health care specialty. Hogan, Omodele Ibitola can be contacted via phone (570) 271-6028.Contact Information
Primary practice address
100 N Academy Ave
Danville PA 17822-5301
Phone: (570) 271-6028
Fax: (570) 271-5845
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 13694 | Florida |
| Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism | 207RE0101X | 25MA11280500 | New Jersey |
| Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism | 207RE0101X | ME119257 | Florida |
| Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism | 207RE0101X | MD465107 | Pennsylvania |
Profile Details
| NPI number | 1093940918 |
|---|---|
| LBN Legal business name | Hogan, Omodele Ibitola |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 20th, 2009 |
| Last updated | Aug 17th, 2023 - about 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1093940918 | NPPES |
| Florida | MEDICAID | 013079700 |
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