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Contact Information

ANIFAT O BALOGUN, MD
6850 35TH AVE NE
STE 4
SEATTLE, WA98115-7344
 Phone: 206-525-0903
 Fax: 866-497-3901
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Otolaryngology

207Y00000X 04 Physician/Otolaryngology
Indicates primary specialty

NPI Profile & details for ANIFAT O BALOGUN · (Female)

NPI # 1427046473
Status Active
Credentials MD
Entity Individual
Enumeration date 10/12/2005
Last updated 09/07/2012 - About 14 years ago
Sole proprietor 1 No
Identifiers
  • WA License # MD00039276
  • WA Medicaid 8264525
  • WA Other 5618BA REGENCE
  • WA Other 611494859 TAX ID
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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