Omole, Modupe A.

Omole, Modupe A. is an individual health care provider with primary practice located at 191 Theater Rd , Onalaska WI 54650. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Omole, Modupe A. can be contacted via phone (608) 785-0940.

Contact Information

Primary practice address
191 Theater Rd Onalaska WI 54650
Phone: (608) 785-0940
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X MT191922 Pennsylvania
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 56688 Wisconsin

Profile Details

NPI number 1679800387
LBN Legal business name Omole, Modupe A.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 17th, 2009
Last updated May 16th, 2019 - about 5 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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