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Contact Information

KOLAWOLE L AMUSAN
7790 HIGHPOINTE RD
WOODBURY, MN55125-1633
 Phone: 651-442-1716
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Home Health

163WH0200X
 

Registered Nurse

163W00000X
Indicates primary specialty

NPI Profile & details for KOLAWOLE L AMUSAN · (Male)

NPI # 1699339614
Status Active
Credentials
Entity Individual
Enumeration date 04/25/2019
Last updated 04/25/2019 - About 7 years ago
Sole proprietor 1 No
Identifiers
  • MN License # 390397
  • MN License # R-127815-8
  • MN License # R-1610059
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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