Ogbolu, Michael

Ogbolu, Michael is an individual health care provider with primary practice located at 2600 Liberty Heights Ave , Baltimore MD 21215-7804. He recently has only one registered license in Technologists, Technicians & Other Technical Service Providers / Clinical Laboratory Director, Non-physician, which is considered as his primary health care specialty. Ogbolu, Michael can be contacted via phone (410) 383-4615.

Contact Information

Primary practice address
2600 Liberty Heights Ave Baltimore MD 21215-7804
Fax: (410) 383-4606
Website:

Profile Details

NPI number 1043438716
LBN Legal business name Ogbolu, Michael
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 20th, 2007
Last updated Jul 8th, 2007 - about 17 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 1043438716 NPPES
Other 2ID0918551 CLIA#

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