Onitilo, Adedayo A

Onitilo, Adedayo A is an individual health care provider with primary practice located at 3501 Cranberry Blvd , Weston WI 54476. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as his primary health care specialty. Onitilo, Adedayo A can be contacted via phone (715) 847-3016.

Contact Information

Primary practice address
3501 Cranberry Blvd Weston WI 54476
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X 46194 Wisconsin

Profile Details

NPI number 1275631566
LBN Legal business name Onitilo, Adedayo A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 20th, 2006
Last updated Jul 8th, 2007 - about 17 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 1275631566 NPPES
Wisconsin MEDICAID 34576500

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