Soyode-Etomi, Olatokunbo Efunsami

Soyode-Etomi, Olatokunbo Efunsami is an sole proprietor health care provider with primary practice located at 549 Cox Rd , Gastonia NC 28054-0628. She recently has only one registered license in Agencies / Community/Behavioral Health, which is considered as her primary health care specialty. Soyode-Etomi, Olatokunbo Efunsami can be contacted via phone (704) 865-1558.

Contact Information

Primary practice address
549 Cox Rd Gastonia NC 28054-0628
Fax: (704) 865-9908
Website:

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X 9300327 North Carolina

Profile Details

NPI number 1326132804
LBN Legal business name Soyode-Etomi, Olatokunbo Efunsami
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 2nd, 2006
Last updated Oct 20th, 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 1326132804 NPPES
North Carolina MEDICAID 8930894

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