Soyinka, Olufemi E

Soyinka, Olufemi E is an individual health care provider with primary practice located at 629 Nuckolls Rd , Bolivar TN 38008-1599. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Soyinka, Olufemi E can be contacted via phone (731) 658-3388.

Contact Information

Primary practice address
629 Nuckolls Rd Bolivar TN 38008-1599
Phone: (731) 658-3388
Fax: (731) 658-4079
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 42451 Tennessee

Profile Details

NPI number 1568508448
LBN Legal business name Soyinka, Olufemi E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 29th, 2007
Last updated Sep 29th, 2011 - about 15 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 1568508448 NPPES
Tennessee Other P00684728 RR MEDICARE
Tennessee Other 4186909 RR MEDICARE
Tennessee MEDICAID 30004592 RR MEDICARE

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