GEORGE OLORUNFEMI ADEOLA OLUSA CHAPLAIN/PASTOR NPI 1528667953

NPI Information

NPI: 1528667953
Provider Name: GEORGE OLORUNFEMI ADEOLA OLUSA, CHAPLAIN/PASTOR
Classification: Counselor - 101YP1600X
Entity Type: Individual

Specialization: Pastoral

Address:
5651 S MESQUITE GROVE WAY
CHANDLER, AZ
ZIP 85249
Phone: (480) 240-0412
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George Olorunfemi Adeola Olusa, CHAPLAIN/PASTOR is a pastoral counselor in Chandler, AZ. George Olorunfemi Adeola Olusa, CHAPLAIN/PASTOR NPI is 1528667953. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

5651 S MESQUITE GROVE WAY
CHANDLER, AZ
ZIP 85249-670
Phone: (480) 240-0412

The enumeration date for this NPI number is 10/17/2020 and was last updated on 10/17/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101Y00000X	Counselor		D04019037	ARIZONA	No
2	101YP1600X	Counselor	Pastoral	D04019037	ARIZONA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	D04019037	OTHER	ARIZONA	AZ STATE MVD

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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