Adeleye, Olusegun Adedamola

Adeleye, Olusegun Adedamola is an sole proprietor health care provider with primary practice located at 405 Bienville St , Natchitoches LA 71457-5748. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Adeleye, Olusegun Adedamola can be contacted via phone (318) 356-7211.

Contact Information

Primary practice address
405 Bienville St Natchitoches LA 71457-5748
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X MD.200937 Louisiana

Profile Details

NPI number 1629023064
LBN Legal business name Adeleye, Olusegun Adedamola
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 24th, 2006
Last updated Jun 6th, 2008 - about 18 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 1629023064 NPPES
Louisiana MEDICAID 1582018

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