MEDICARE: SOBOWALE SOLAJA LPN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	164W00000X	Licensed Practical Nurse	4703131732	MI

General Provider Information

NPI Number	:	1114893898
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SOBOWALE SOLAJA LPN

Provider Business Mailing Address
First Line	:	23766 W WARREN ST APT 6
Second Line	:
City	:	DEARBORN HEIGHTS
State	:	MI
Zip	:	48127-4409
Country	:	US
Telephone Number	:	267-366-3595
Fax Number	:

Provider Business Practice Location Address
First Line	:	23766 W WARREN ST APT 6
Second Line	:
City	:	DEARBORN HEIGHTS
State	:	MI
Zip	:	48127-4409
Country	:	US
Telephone Number	:	267-366-3595
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/11/2025
Last Update Date	:	10/11/2025

Similar Medicare Providers

1831333988 — DR. KLAYNE RASMUSSN PH.D.
Practice Location Address:

814 MAHOGANY DR
FRUIT HEIGHTS, UT
84037-4409

Practice Phone: 801-544-2470
Practice Fax:

1730415662 — SUCCESSFUL BUILDING OUTREACH MINISTRY CHURCH
Practice Location Address:

3187 MANGROVE DR
STERLING HEIGHTS, MI
48314-4409

Practice Phone: 248-761-6170
Practice Fax:

1053299412 — ANTAYA DAVIS
Practice Location Address:

12815 GRANNIS RD
GARFIELD HEIGHTS, OH
44125-4409

Practice Phone: 216-609-4552
Practice Fax:

1003748039 — SHAREEN NASSER RDN
Practice Location Address:

25403 ELON DR
DEARBORN HEIGHTS, MI
48127-3804

Practice Phone: 313-467-5845
Practice Fax:

1811902935 — WALGREEN CO
Practice Location Address:

8706 N TELEGRAPH RD
DEARBORN HEIGHTS, MI
48127-1457

Practice Phone: 313-724-9078
Practice Fax:

1225284524 — WALGREEN CO
Practice Location Address:

25700 FORD RD
DEARBORN HEIGHTS, MI
48127-3026

Practice Phone: 313-359-9640
Practice Fax: 313-359-9650

Directions to “ SOBOWALE SOLAJA LPN” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.