MEDICARE: OMOLARA ADEBANJO

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	104100000X	Social Worker	SW136672	PA

General Provider Information

NPI Number	:	1194687376
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	OMOLARA ADEBANJO

Provider Business Mailing Address
First Line	:	524 N REESER DR
Second Line	:
City	:	YORK HAVEN
State	:	PA
Zip	:	17370-9618
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	7720 LINCOLN HWY E
Second Line	:
City	:	NORTH HUNTINGDON
State	:	PA
Zip	:	15642-2773
Country	:	US
Telephone Number	:	412-440-7602
Fax Number	:

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

Provider Enumeration Date	:	11/26/2025
Last Update Date	:	11/26/2025

Similar Medicare Providers

1235136847 — DR. ELTON B LAFFOON D.C.
Practice Location Address:

7720 ROUTE 30
NORTH HUNTINGDON, PA
15642-2773

Practice Phone: 724-864-8806
Practice Fax: 724-864-8807

1609830314 — LAFFOON CHIROPRACTIC, INC.
Practice Location Address:

7720 ROUTE 30
NORTH HUNTINGDON, PA
15642-2773

Practice Phone: 724-864-8806
Practice Fax: 724-864-8807

1073617056 — HOLIDAY CVS LLC
Practice Location Address:

15050 N CLEVELAND AVE
NORTH FORT MYERS, FL
33903-2773

Practice Phone: 239-995-5461
Practice Fax:

1457559858 — PAULETTE PLUMMER LCSW
Practice Location Address:

1801 NORTH TRYON ST. , SUITE 339
CHARLOTTE, NC
28206-2773

Practice Phone: 704-405-5993
Practice Fax: 704-405-5994

1841571890 — LEIGH ANN LIEBENGUTH RN
Practice Location Address:

9826 BENTLEY DR
NORTH ROYALTON, OH
44133-2773

Practice Phone: 440-915-2321
Practice Fax:

1548864234 — MUHAMMAD FAISAL KHAN PHARMACIST
Practice Location Address:

15050 N CLEVELAND AVE
NORTH FORT MYERS, FL
33903-2773

Practice Phone: 239-995-5461
Practice Fax:

Directions to “ OMOLARA ADEBANJO ” 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.