Awodele, Olatokunbo Olufunmike
Awodele, Olatokunbo Olufunmike is an individual health care provider with primary practice located at 1941 S 42Nd St Suite 434, Omaha NE 68105-2939. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Awodele, Olatokunbo Olufunmike can be contacted via phone (402) 505-6900.Contact Information
Primary practice address
1941 S 42Nd St Suite 434
Omaha NE 68105-2939
Phone: (402) 505-6900
Fax: (402) 991-5419
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 21436 | Nebraska |
Profile Details
| NPI number | 1336139617 |
|---|---|
| LBN Legal business name | Awodele, Olatokunbo Olufunmike |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 26th, 2005 |
| Last updated | Oct 3rd, 2011 - about 15 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1336139617 | NPPES |
| Nebraska | MEDICAID | 10025134800 |
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