Odusanya, Paul Oluwatoyin
Odusanya, Paul Oluwatoyin is an individual health care provider with primary practice located at 6308 8Th Ave Hospitalist Management Group , United Hospitals, Kenosha WI 53143-5031. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hospitalist, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Odusanya, Paul Oluwatoyin can be contacted via phone (201) 238-5395.Contact Information
Primary practice address
6308 8Th Ave Hospitalist Management Group , United Hospitals
Kenosha WI 53143-5031
Phone: (201) 238-5395
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | 54880-020 | Wisconsin |
Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 5488-20 | Wisconsin |
Profile Details
NPI number | 1720395411 |
---|---|
LBN Legal business name | Odusanya, Paul Oluwatoyin |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Sep 2nd, 2010 |
Last updated | Nov 22nd, 2021 - 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 | 1720395411 | NPPES |
Wisconsin | MEDICAID | 100012065 |
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