Shodiya, Olubukola E

Shodiya, Olubukola E is an sole proprietor health care provider with primary practice located at 2921 Landmark Pl Ste 215 , Madison WI 53713-4248. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Shodiya, Olubukola E can be contacted via phone (708) 713-1017.

Contact Information

Primary practice address
2921 Landmark Pl Ste 215 Madison WI 53713-4248
Phone: (708) 713-1017
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 115698 Nebraska
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 1681833 Wisconsin
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 71013331A Indiana
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 209.020728 Illinois

Profile Details

NPI number 1104456961
LBN Legal business name Shodiya, Olubukola E
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 21st, 2020
Last updated Jun 16th, 2025 - about last year

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 1104456961 NPPES
Wisconsin Other 1681833 WI APRN
Wisconsin Other 71013331A WI APRN
Wisconsin Other 209.020728 WI APRN

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