Adeoye, Olusanjo Olaoluwa

Adeoye, Olusanjo Olaoluwa is an sole proprietor health care provider with primary practice located at 4100 Lake Dr Se Suite 300, Grand Rapids MI 49546-8292. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Sports Medicine, Allopathic & Osteopathic Physicians / Orthopaedic Surgery. Allopathic & Osteopathic Physicians / Sports Medicine is his primary health care specialty. Adeoye, Olusanjo Olaoluwa can be contacted via phone (616) 267-8860.

Contact Information

Primary practice address
4100 Lake Dr Se Suite 300 Grand Rapids MI 49546-8292
Phone: (616) 267-8860
Fax: (616) 267-8442
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 207XX0005X 4301104001 Michigan
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 4301104001 Michigan

Profile Details

NPI number 1477716348
LBN Legal business name Adeoye, Olusanjo Olaoluwa
Credentials MD, MBA
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 9th, 2008
Last updated Feb 8th, 2017 - about 9 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 1477716348 NPPES
Michigan MEDICAID 1477716348

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