National Provider Identifier Database

MOBILE MEDICAL PROVIDER INC
Nurse Practitioner

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.


Contact Information

MOBILE MEDICAL PROVIDER INC
12045 BODLEY PLACE
FISHERS, IN46037-3714
Phone: 317-588-1039
Fax: 317-436-7002
Website:
Specialty Taxonomy Code
* Nurse Practitioner 363L00000X
Family 363LF0000X
Hospice and Palliative Medicine 207QH0002X
Hospice and Palliative Medicine 207RH0002X
Hospice and Palliative Medicine 2084H0002X
Psychiatric/Mental Health 363LP0808X

* Indicates primary specialty

NPI Profile & details for MOBILE MEDICAL PROVIDER INC

NPI Number 1659768356
Legal business name
LBN
MOBILE MEDICAL PROVIDER INC
Authorized official ADESHOLA AFOLABI - (PRESIDENT/CEO)
Entity Organization
Organization subpart No
Enumeration date 04/20/2015
Last updated 08/14/2020 - About 6 years ago
Sole proprietor1 Not specified
Identifiers
  • IN License #: 28204676A
  • IN Medicaid: 201176490
  • IN Other: 000000826011 ANTHEM
  • IN Other: 12544963 CAQH

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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