Soyode, Olufemi O

Soyode, Olufemi O is an sole proprietor health care provider with primary practice located at 422 Plymouth Ave Ne , Grand Rapids MI 49505-6028. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology with Special Qualifications in Child Neurology, which is considered as his primary health care specialty. Soyode, Olufemi O can be contacted via phone (616) 294-0010.

Contact Information

Primary practice address
422 Plymouth Ave Ne Grand Rapids MI 49505-6028
Phone: (616) 294-0010
Fax: (616) 828-1802
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology with Special Qualifications in Child Neurology 2084N0402X 4301081420 Michigan

Profile Details

NPI number 1184735698
LBN Legal business name Soyode, Olufemi O
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 31st, 2006
Last updated Feb 17th, 2015 - about 9 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 1184735698 NPPES
Michigan MEDICAID 1184735698

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