Idowu, Omolola Oladunni

Idowu, Omolola Oladunni is an individual health care provider with primary practice located at 2500 N State St Suite B319, Jackson MS 39216-4500. She recently has only one registered license in Allopathic & Osteopathic Physicians / Glaucoma Specialist, which is considered as her primary health care specialty. Idowu, Omolola Oladunni can be contacted via phone (601) 948-5022.

Contact Information

Primary practice address
2500 N State St Suite B319 Jackson MS 39216-4500
Phone: (601) 948-5022
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Glaucoma Specialist 207WX0009X 20872 Mississippi

Profile Details

NPI number 1194910448
LBN Legal business name Idowu, Omolola Oladunni
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 10th, 2007
Last updated Oct 8th, 2018 - about 7 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 1194910448 NPPES
Mississippi MEDICAID 09053511
Mississippi Other P0787985
Mississippi MEDICAID 1338435

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