Odugbesan, Oluyemisi Modupeore
Odugbesan, Oluyemisi Modupeore is an individual health care provider with primary practice located at 94 Old Short Hills Rd , Livingston NJ 07039-5672. She recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as her primary health care specialty. Odugbesan, Oluyemisi Modupeore can be contacted via phone (973) 322-5000.Contact Information
Primary practice address
94 Old Short Hills Rd
Livingston NJ 07039-5672
Phone: (973) 322-5000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 35.141249 | Ohio |
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 307759 | New York |
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 51427 | Colorado |
Profile Details
| NPI number | 1073737367 |
|---|---|
| LBN Legal business name | Odugbesan, Oluyemisi Modupeore |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 11th, 2007 |
| Last updated | Mar 24th, 2023 - about last year |
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 | 1073737367 | NPPES |
| Colorado | MEDICAID | 56277237 |
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