Ogunwale, Ben O

Ogunwale, Ben O is an individual health care provider with primary practice located at 320 Lillington Ave Suite 101, Charlotte NC 28204-3189. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Gastroenterology. Allopathic & Osteopathic Physicians / Gastroenterology is his primary health care specialty. Ogunwale, Ben O can be contacted via phone (704) 362-4403.

Contact Information

Primary practice address
320 Lillington Ave Suite 101 Charlotte NC 28204-3189
Fax: (704) 362-4405
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 35-082786 Ohio
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 2007-01133 North Carolina

Profile Details

NPI number 1720126600
LBN Legal business name Ogunwale, Ben O
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 2nd, 2007
Last updated Mar 16th, 2017 - about 7 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 1720126600 NPPES
North Carolina MEDICAID 59-12694

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