Ogbulu, Shamusideen Olayibo
Ogbulu, Shamusideen Olayibo is an individual health care provider with primary practice located at 500 Jefferson Street , Whiteville NC 28472-3634. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is his primary health care specialty. Ogbulu, Shamusideen Olayibo can be contacted via phone (910) 642-1776.Contact Information
Primary practice address
500 Jefferson Street
Whiteville NC 28472-3634
Phone: (910) 642-1776
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 01065806A | Indiana |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 2011-01350 | North Carolina |
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | 01065806A | Indiana |
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | 2011-01350 | North Carolina |
Profile Details
| NPI number | 1144478736 |
|---|---|
| LBN Legal business name | Ogbulu, Shamusideen Olayibo |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 8th, 2008 |
| Last updated | Apr 5th, 2012 - about 12 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 | 1144478736 | NPPES |
| North Carolina | MEDICAID | 5918627 | |
| North Carolina | Other | 000000584350 | |
| North Carolina | MEDICAID | 200913430 | |
| North Carolina | MEDICAID | NC1486 | |
| North Carolina | Other | P00657204 |
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