Jaiyeola, Bola Olasunkanmi
Jaiyeola, Bola Olasunkanmi is an individual health care provider with primary practice located at 400 Rosalind Redfern Grover Pkwy , Midland TX 79701-6499. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Physician Assistants & Advanced Practice Nursing Providers / Critical Care Medicine, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is his primary health care specialty. Jaiyeola, Bola Olasunkanmi can be contacted via phone (432) 221-1111.Contact Information
Primary practice address
400 Rosalind Redfern Grover Pkwy
Midland TX 79701-6499
Phone: (432) 221-1111
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | AP139389 | Texas |
Physician Assistants & Advanced Practice Nursing Providers / Critical Care Medicine | 363LC0200X | AP139389 | Texas |
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 0024180467 | Virginia |
Profile Details
NPI number | 1235605064 |
---|---|
LBN Legal business name | Jaiyeola, Bola Olasunkanmi |
Credentials | Nurse Practitioner (NP) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Oct 19th, 2018 |
Last updated | Oct 5th, 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.
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