Adeosun, Olanrewaju
Adeosun, Olanrewaju is an sole proprietor health care provider with primary practice located at 1711 Ralph Ave , Brooklyn NY 11236-3319. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Adeosun, Olanrewaju can be contacted via phone (347) 276-6234.Contact Information
Primary practice address
1711 Ralph Ave
Brooklyn NY 11236-3319
Phone: (347) 276-6234
Fax: (718) 649-6357
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 203510 | New York |
Profile Details
| NPI number | 1174648489 |
|---|---|
| LBN Legal business name | Adeosun, Olanrewaju |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 20th, 2007 |
| Last updated | Jan 21st, 2021 - about 3 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 | 1174648489 | NPPES |
| New York | MEDICAID | 01729900 | |
| New York | Other | 2506487 | |
| New York | Other | OH351 |
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