Badejo, Abodunrin Sulaimon Olasubomi
Badejo, Abodunrin Sulaimon Olasubomi is an individual health care provider with primary practice located at 228 Bucher Dr , Mountain Home AR 72653-3400. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Badejo, Abodunrin Sulaimon Olasubomi can be contacted via phone (870) 425-4416.Contact Information
Primary practice address
228 Bucher Dr
Mountain Home AR 72653-3400
Phone: (870) 425-4416
Fax: (870) 425-8615
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | E3359 | Arkansas |
Profile Details
| NPI number | 1831157551 |
|---|---|
| LBN Legal business name | Badejo, Abodunrin Sulaimon Olasubomi |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 2nd, 2006 |
| Last updated | Apr 25th, 2017 - about 8 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 | 1831157551 | NPPES |
| Arkansas | MEDICAID | 152961001 | |
| Arkansas | Other | 06-1833974 |
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