Olusanya, Ayodele Adeleke

Olusanya, Ayodele Adeleke is an sole proprietor health care provider with primary practice located at 120 Davy Crockett Mall , Trenton TN 38382-2934. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Olusanya, Ayodele Adeleke can be contacted via phone (731) 855-2803.

Contact Information

Primary practice address
120 Davy Crockett Mall Trenton TN 38382-2934
Phone: (731) 855-2803
Fax: (731) 855-1746
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 37856 Tennessee
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 37856 Tennessee

Profile Details

NPI number 1932155868
LBN Legal business name Olusanya, Ayodele Adeleke
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 25th, 2006
Last updated Apr 14th, 2008 - about 16 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 1932155868 NPPES
Tennessee MEDICAID 3895683
Tennessee MEDICAID 3895684
Tennessee Other 4106219
Tennessee Other 4109887
Tennessee Other 4139060
Tennessee MEDICAID 3895681
Tennessee Other P00376124
Tennessee Other P00380502
Tennessee MEDICAID 3895682
Tennessee MEDICAID 3895687

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