Individual
MR. BANKOLE WAHEED ADEIGBE I
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
7310 FREEPORT LN APT D, INDIANAPOLIS, IN 46214-1124
(463) 336-3843
Mailing address
7310 FREEPORT LN APT D, INDIANAPOLIS, IN 46214-1124
(463) 336-3843
Taxonomy
Speciality
Code
Description
License number
State
332BN1400X
Nursing Facility Supplies (DME)
Primary
—
—
Other
Enumeration date
09/29/2022
Last updated
09/29/2022
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