Oduwole, Adedapo M
Oduwole, Adedapo M is an sole proprietor health care provider with primary practice located at 1203 48Th Ave N 202, Myrtle Beach SC 29577-5425. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Oduwole, Adedapo M can be contacted via phone (843) 449-2576.Contact Information
Primary practice address
1203 48Th Ave N 202
Myrtle Beach SC 29577-5425
Phone: (843) 449-2576
Fax: (843) 449-6851
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 43425 | Wisconsin |
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 31507 | South Carolina |
Profile Details
| NPI number | 1720139645 |
|---|---|
| LBN Legal business name | Oduwole, Adedapo M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 16th, 2007 |
| Last updated | Mar 21st, 2014 - about 10 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 | 1720139645 | NPPES |
| South Carolina | MEDICAID | 31507 | |
| South Carolina | MEDICAID | 34116200 |
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