Adeniji, Olaitan
Adeniji, Olaitan is an individual health care provider with primary practice located at 1700 Tree Lane Rd Suite 190, Snellville GA 30078-6782. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Adeniji, Olaitan can be contacted via phone (770) 972-4780.Contact Information
Primary practice address
1700 Tree Lane Rd Suite 190
Snellville GA 30078-6782
Phone: (770) 972-4780
Fax: (770) 972-2371
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | 52670 | Georgia |
Profile Details
| NPI number | 1255321089 |
|---|---|
| LBN Legal business name | Adeniji, Olaitan |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 24th, 2005 |
| Last updated | Jan 18th, 2011 - about 13 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 | 1255321089 | NPPES |
| Georgia | MEDICAID | 543101479A |
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