Mobile Medical Provider Inc

LBN: Mobile Medical Provider Inc
Mobile Medical Provider Inc is an health care organization with primary practice located at 12045 Bodley Place , Fishers IN 46037-3714. The organization recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is the primary health care specialty. Mobile Medical Provider Inc can be contacted via phone (317) 588-1039, or through Afolabi, Adeshola Abdulwahid via phone (317) 588-1039.

Contact Information

Primary practice address
12045 Bodley Place Fishers IN 46037-3714
Phone: (317) 588-1039
Fax: (317) 436-7002
Website:
Map and Directions
Authorized official contact:
Name: Afolabi, Adeshola Abdulwahid NURSE PRACTITIONER
Phone: (317) 588-1039

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine 207QH0002X
Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine 207RH0002X
Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine 2084H0002X
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 28204676A Indiana
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X

Profile Details

NPI number 1659768356
LBN Legal business name Mobile Medical Provider Inc
DBA Doing business as
Authorized official Afolabi, Adeshola Abdulwahid NURSE PRACTITIONER
Entity Organization
Organization subpart 1 No
Enumeration date Apr 20th, 2015
Last updated Aug 14th, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1659768356 NPPES
Indiana MEDICAID 201176490
Indiana Other 000000826011
Indiana Other 12544963

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