Olajide-Kuku, Anthonia Adetola
Olajide-Kuku, Anthonia Adetola is an individual health care provider with primary practice located at 7840 Vinewood Ln N , Maple Grove MN 55369-7185. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Olajide-Kuku, Anthonia Adetola can be contacted via phone (763) 236-0200.Contact Information
Primary practice address
7840 Vinewood Ln N
Maple Grove MN 55369-7185
Phone: (763) 236-0200
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 42017 | Minnesota |
Profile Details
| NPI number | 1780667717 |
|---|---|
| LBN Legal business name | Olajide-Kuku, Anthonia Adetola |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 23rd, 2005 |
| Last updated | Dec 28th, 2016 - about 8 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 | 1780667717 | NPPES |
| Minnesota | MEDICAID | 416327300 |
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