Adewunmi, Modupeola Olufunmilayo

Adewunmi, Modupeola Olufunmilayo is an individual health care provider with primary practice located at 640 Jackson St , Saint Paul MN 55101-2502. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Preventive Medicine/Occupational Environmental Medicine. Allopathic & Osteopathic Physicians / Preventive Medicine/Occupational Environmental Medicine is her primary health care specialty. Adewunmi, Modupeola Olufunmilayo can be contacted via phone (651) 293-8269.

Contact Information

Primary practice address
640 Jackson St Saint Paul MN 55101-2502
Phone: (651) 293-8269
Fax: (651) 293-8195
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 138899 District of Columbia
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 11259 North Dakota
Allopathic & Osteopathic Physicians / Preventive Medicine/Occupational Environmental Medicine 2083P0500X 52915 Minnesota

Profile Details

NPI number 1568621209
LBN Legal business name Adewunmi, Modupeola Olufunmilayo
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 7th, 2008
Last updated Aug 5th, 2014 - about 10 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1568621209 NPPES
North Dakota MEDICAID 11070
North Dakota Other 138899

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