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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1073567251 NPPES
Mississippi MEDICAID 06180721

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