Balogun, Olajide A.

Balogun, Olajide A. is an individual health care provider with primary practice located at 1165 Highway 1 S Suite 200, Lugoff SC 29078-8966. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Balogun, Olajide A. can be contacted via phone (803) 408-0225.

Contact Information

Primary practice address
1165 Highway 1 S Suite 200 Lugoff SC 29078-8966
Phone: (803) 408-0225
Fax: (803) 408-0729
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 20381 South Carolina
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 20381 South Carolina

Profile Details

NPI number 1215997820
LBN Legal business name Balogun, Olajide A.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 27th, 2006
Last updated Dec 13th, 2007 - about 19 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1215997820 NPPES
South Carolina MEDICAID 203817

Popular Providers