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:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1477716348 | NPPES |
| Michigan | MEDICAID | 1477716348 |
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