Kolade, Victor Olaolu
Kolade, Victor Olaolu is an individual health care provider with primary practice located at 1 Guthrie Sq , Sayre PA 18840-1625. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Kolade, Victor Olaolu can be contacted via phone (570) 888-5858.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 234676 | New York |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | MD452747 | Pennsylvania |
Profile Details
| NPI number | 1073558409 |
|---|---|
| LBN Legal business name | Kolade, Victor Olaolu |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 19th, 2006 |
| Last updated | Mar 1st, 2021 - about 3 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 | 1073558409 | NPPES |
| New York | MEDICAID | 02633003 | |
| New York | MEDICAID | 1029566980001 |
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