Ogunnusi Sofuye, Modupe Mary
Ogunnusi Sofuye, Modupe Mary is an individual health care provider with primary practice located at 1290 E Ireland Rd , South Bend IN 46614-3474. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Ogunnusi Sofuye, Modupe Mary can be contacted via phone (574) 299-1400.Contact Information
Primary practice address
1290 E Ireland Rd
South Bend IN 46614-3474
Phone: (574) 299-1400
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 12012973A | Indiana |
Profile Details
| NPI number | 1437644549 |
|---|---|
| LBN Legal business name | Ogunnusi Sofuye, Modupe Mary |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 30th, 2018 |
| Last updated | Jun 30th, 2018 - about 7 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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