Desalu, Olabode Olaosebikan
Desalu, Olabode Olaosebikan is an individual health care provider with primary practice located at 2601 Gene George Blvd , Springdale AR 72762-0845. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Desalu, Olabode Olaosebikan can be contacted via phone (479) 725-6977.Contact Information
Primary practice address
2601 Gene George Blvd
Springdale AR 72762-0845
Phone: (479) 725-6977
Fax: (479) 725-6577
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | T2018-031 | Arkansas |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 15345R | Louisiana |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | E-11228 | Arkansas |
Profile Details
| NPI number | 1093732950 |
|---|---|
| LBN Legal business name | Desalu, Olabode Olaosebikan |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 16th, 2006 |
| Last updated | Jan 21st, 2020 - about 4 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 | 1093732950 | NPPES |
| Louisiana | MEDICAID | 1470635 | |
| Louisiana | MEDICAID | 176387001 |
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