| Bridge Clinics Llc | |
|
6357 Rockville Rd Indianapolis IN 46214-3920 | |
| (317) 757-2563 | |
| (317) 405-9970 |
| Full Name | Bridge Clinics Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 6357 Rockville Rd, Indianapolis, Indiana |
| Authorized Official Name and Position | Latifat A. Oyekola (OWNER) |
| Authorized Official Contact | 3174955173 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bridge Clinics Llc 6357 Rockville Rd Indianapolis IN 46214-3920 Ph: () - | Bridge Clinics Llc 6357 Rockville Rd Indianapolis IN 46214-3920 Ph: (317) 757-2563 |
| NPI Number | 1568935278 |
|---|---|
| Provider Enumeration Date | 01/04/2019 |
| Last Update Date | 03/08/2021 |
| Medicare PECOS PAC ID | 0244572956 |
|---|---|
| Medicare Enrollment ID | O20190430000446 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568935278 | NPI | - | NPPES |
| Provider Name | Latifat A Oyekola |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376756684 PECOS PAC ID: 2860557352 Enrollment ID: I20131125000947 |
| Provider Name | Olabisi Fajana |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780164053 PECOS PAC ID: 7911258231 Enrollment ID: I20180926002067 |
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