Adeleye, Olufemi
Adeleye, Olufemi is an sole proprietor health care provider with primary practice located at 1890 Goodman Rd E Suite 101, Southaven MS 38671-9504. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medical Services, Other Service Providers / Specialist. Other Service Providers / Specialist is his primary health care specialty. Adeleye, Olufemi can be contacted via phone (662) 536-1892.Contact Information
Primary practice address
1890 Goodman Rd E Suite 101
Southaven MS 38671-9504
Phone: (662) 536-1892
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medical Services | 207PE0004X | 18315 | Mississippi |
| Other Service Providers / Specialist | 174400000X | 18315 | Mississippi |
Profile Details
| NPI number | 1073567251 |
|---|---|
| LBN Legal business name | Adeleye, Olufemi |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 20th, 2006 |
| Last updated | Oct 12th, 2011 - about 15 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1073567251 | NPPES |
| Mississippi | MEDICAID | 06180721 |
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