Adedipe, Olugbenga

Adedipe, Olugbenga is an individual health care provider with primary practice located at 1820 Peabody St , Tunica MS 38676-9441. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Adedipe, Olugbenga can be contacted via phone (662) 363-3656.

Contact Information

Primary practice address
1820 Peabody St Tunica MS 38676-9441
Phone: (662) 363-3656
Fax: (662) 363-3789
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 20415 Mississippi

Profile Details

NPI number 1720088016
LBN Legal business name Adedipe, Olugbenga
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 28th, 2005
Last updated Mar 28th, 2014 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1720088016 NPPES
Mississippi MEDICAID 02635095

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