Rosanwo, Ayodeji Olusile

Rosanwo, Ayodeji Olusile is an individual health care provider with primary practice located at 101 E Wt Harris Blvd Building 1000 - Suite 1110, Charlotte NC 28262-3485. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Geriatric Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Geriatric Medicine is his primary health care specialty. Rosanwo, Ayodeji Olusile can be contacted via phone (704) 863-9850.

Contact Information

Primary practice address
101 E Wt Harris Blvd Building 1000 - Suite 1110 Charlotte NC 28262-3485
Phone: (704) 863-9850
Fax: (704) 863-9851
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Geriatric Medicine 207QG0300X 01043372A Indiana
Allopathic & Osteopathic Physicians / Geriatric Medicine 207QG0300X 2014-01481 North Carolina
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 2014-01481 North Carolina

Profile Details

NPI number 1902862360
LBN Legal business name Rosanwo, Ayodeji Olusile
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 25th, 2006
Last updated Feb 24th, 2017 - about 9 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 1902862360 NPPES
Indiana MEDICAID 200314410
Indiana MEDICAID 1902862360
Indiana MEDICAID NC2346

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