Odusanya, Paul Oluwatoyin

Odusanya, Paul Oluwatoyin is an individual health care provider with primary practice located at 6308 8Th Ave Hospitalist Management Group , United Hospitals, Kenosha WI 53143-5031. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hospitalist, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Odusanya, Paul Oluwatoyin can be contacted via phone (201) 238-5395.

Contact Information

Primary practice address
6308 8Th Ave Hospitalist Management Group , United Hospitals Kenosha WI 53143-5031
Phone: (201) 238-5395
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 54880-020 Wisconsin
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 5488-20 Wisconsin

Profile Details

NPI number 1720395411
LBN Legal business name Odusanya, Paul Oluwatoyin
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 2nd, 2010
Last updated Nov 22nd, 2021 - about 5 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 1720395411 NPPES
Wisconsin MEDICAID 100012065

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