Olatunji, Olawale O

Olatunji, Olawale O is an individual health care provider with primary practice located at 306 Stanaford Rd , Beckley WV 25801-3142. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Olatunji, Olawale O can be contacted via phone (681) 207-2055.

Contact Information

Primary practice address
306 Stanaford Rd Beckley WV 25801-3142
Phone: (681) 207-2055
Fax: (681) 207-1811
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 36772 Kentucky

Profile Details

NPI number 1154390078
LBN Legal business name Olatunji, Olawale O
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 14th, 2006
Last updated Apr 21st, 2022 - about 4 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 1154390078 NPPES
Kentucky MEDICAID 64050230
Kentucky Other 000000584950
Kentucky Other 26160

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