Adeleye, Jaiyeola
Adeleye, Jaiyeola is an individual health care provider with primary practice located at 785 Ohio Ave Ste 3G , Clarksdale MS 38614-6215. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Adeleye, Jaiyeola can be contacted via phone (662) 624-5026.Contact Information
Primary practice address
785 Ohio Ave Ste 3G
Clarksdale MS 38614-6215
Phone: (662) 624-5026
Fax: (662) 624-5028
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 18718 | Mississippi |
Profile Details
| NPI number | 1649213455 |
|---|---|
| LBN Legal business name | Adeleye, Jaiyeola |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 13th, 2006 |
| Last updated | Aug 11th, 2020 - about 4 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1649213455 | NPPES |
| Mississippi | MEDICAID | 00253023 |
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