Adetuyi, Olusegun

Adetuyi, Olusegun is an sole proprietor health care provider with primary practice located at 4212 N 16Th St , Phoenix AZ 85016-5319. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hospitalist, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Adetuyi, Olusegun can be contacted via phone (602) 263-1200.

Contact Information

Primary practice address
4212 N 16Th St Phoenix AZ 85016-5319
Phone: (602) 263-1200
Fax: (602) 263-1619
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X A122119 California
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X A122119 California

Profile Details

NPI number 1417275033
LBN Legal business name Adetuyi, Olusegun
Credentials MD, MPH
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 6th, 2010
Last updated Jan 15th, 2024 - about 11 months 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 1417275033 NPPES
California Other A122119 CA LICENSE

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