Badru, Alexander Olatunde

Badru, Alexander Olatunde is an sole proprietor health care provider with primary practice located at 521 West Main Street , Lebanon TN 37087-3460. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Badru, Alexander Olatunde can be contacted via phone (615) 547-6200.

Contact Information

Primary practice address
521 West Main Street Lebanon TN 37087-3460
Fax: (615) 547-6202
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 41138 Tennessee

Profile Details

NPI number 1942255575
LBN Legal business name Badru, Alexander Olatunde
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 23rd, 2006
Last updated Apr 20th, 2021 - about 4 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 1942255575 NPPES
Tennessee MEDICAID 1510652
Tennessee Other 743222061
Tennessee Other 300400371

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