Osundeko, Olusola

Osundeko, Olusola is an individual health care provider with primary practice located at 890 Poplar Church Rd 503, Camp Hill PA 17011-2250. He recently has only one registered license in Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism, which is considered as his primary health care specialty. Osundeko, Olusola can be contacted via phone (717) 972-7120.

Contact Information

Primary practice address
890 Poplar Church Rd 503 Camp Hill PA 17011-2250
Fax: (717) 972-7124
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism 207RE0101X MD069799L Pennsylvania

Profile Details

NPI number 1164411237
LBN Legal business name Osundeko, Olusola
Credentials M.D., FACE, FACP
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 20th, 2005
Last updated Aug 11th, 2020 - about 6 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 1164411237 NPPES
Pennsylvania MEDICAID 0018444150001

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