Sobowale, Adeyemi O

Sobowale, Adeyemi O is an individual health care provider with primary practice located at 2600 Sixth St Sw , Canton OH 44710-1702. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine, which is considered as his primary health care specialty. Sobowale, Adeyemi O can be contacted via phone (330) 438-7430.

Contact Information

Primary practice address
2600 Sixth St Sw Canton OH 44710-1702
Fax: (330) 580-5542
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine 2080N0001X 35074320 Ohio

Profile Details

NPI number 1235111469
LBN Legal business name Sobowale, Adeyemi O
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 15th, 2005
Last updated May 25th, 2012 - about 14 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 1235111469 NPPES
Ohio Other 0759746 MEDICAID GROUP NUMBER
Ohio Other 1275635351 MEDICAID GROUP NUMBER
Ohio MEDICAID 2131197 MEDICAID GROUP NUMBER

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