Haastrup, Adetola Tolulola

Haastrup, Adetola Tolulola is an individual health care provider with primary practice located at 1300 S Columbia Rd , Grand Forks ND 58201. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Nephrology. Allopathic & Osteopathic Physicians / Nephrology is her primary health care specialty. Haastrup, Adetola Tolulola can be contacted via phone (701) 780-2300.

Contact Information

Primary practice address
1300 S Columbia Rd Grand Forks ND 58201
Phone: (701) 780-2300
Fax: (701) 780-1942
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 4301086777 Michigan
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 4301086777 Michigan
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 11376 North Dakota

Profile Details

NPI number 1932174588
LBN Legal business name Haastrup, Adetola Tolulola
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 17th, 2006
Last updated Mar 7th, 2019 - about 6 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 1932174588 NPPES
Wisconsin MEDICAID 34689000
Wisconsin MEDICAID 4779526

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