Ogundipe, Olusola

Ogundipe, Olusola is an individual health care provider with primary practice located at 2600 Roosevelt Rd , Valparaiso IN 46383-0970. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as his primary health care specialty. Ogundipe, Olusola can be contacted via phone (219) 464-1620.

Contact Information

Primary practice address
2600 Roosevelt Rd Valparaiso IN 46383-0970
Phone: (219) 464-1620
Fax: (219) 477-4565
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X 10165962A Indiana

Profile Details

NPI number 1194849901
LBN Legal business name Ogundipe, Olusola
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 19th, 2007
Last updated Apr 16th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1194849901 NPPES
Indiana Other 01065962A LICENSE
Indiana MEDICAID 200922610 LICENSE
Indiana Other 36-110404 LICENSE

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