Fatunde, Oluyemisi Jokotade

Fatunde, Oluyemisi Jokotade is an individual health care provider with primary practice located at 1400 S Coulter St , Amarillo TX 79106-1786. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Fatunde, Oluyemisi Jokotade can be contacted via phone (806) 414-9800.

Contact Information

Primary practice address
1400 S Coulter St Amarillo TX 79106-1786
Phone: (806) 414-9800
Fax: (806) 354-5689
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X C51242 California
Allopathic & Osteopathic Physicians / Pediatrics 208000000X FTL 42897 Texas
Allopathic & Osteopathic Physicians / Pediatrics 208000000X N6289 Texas

Profile Details

NPI number 1457359663
LBN Legal business name Fatunde, Oluyemisi Jokotade
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 12th, 2005
Last updated Apr 12th, 2017 - 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 1457359663 NPPES
California MEDICAID 00C512420
California MEDICAID 187039601
California Other 187039602
California MEDICAID 55354751
California MEDICAID 200133280 A

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