Osaretin B Idusuyi in Springfield - Orthopaedic Surgery

Osaretin B Idusuyi - NPI 1417944091

Osaretin B Idusuyi is a Orthopaedic Surgery in Springfield, Illinois. Osaretin B Idusuyi practices all healthcare services and medical treatments related to Orthopaedic Surgery. The NPI Number for Osaretin B Idusuyi is 1417944091. The last update date is 2020-04-13.

Osaretin B Idusuyi's current location address is Po Box 9469, Springfield, Illinois. You can contact this provider via phone number 2175479100 and fax number 2175479236. The mailing address for Osaretin B Idusuyi is Po Box 9469, Springfield, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Name Osaretin B Idusuyi
Address Po Box 9469, Springfield, Illinois
Phone Number 2175479100
Fax Number 2175479236
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1417944091
Provider Enumeration Date 2005-09-29
Last Updated Date 2020-04-13

Provider Mailing Address Detail

Address Po Box 9469
City Springfield
State Illinois (IL)
Post Code 627919469
Phone Number 2175479100
Fax Number 2175479236

Provider's Primary Taxonomy Detail

Speciality Orthopaedic Surgery
Taxonomy 207X00000X
Licence No 36095609
Definition:
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the car

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
36095609 IL --

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FAQs about Osaretin B Idusuyi

What is the Osaretin B Idusuyi's 1417944091?

The Osaretin B Idusuyi's NPI (National Provider Identifier) Number is 1417944091. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete street address where Osaretin B Idusuyi is physically located?

The Osaretin B Idusuyi is physically situated at the following address: Po Box 9469, Springfield, IL, 627919469.

What is Osaretin B Idusuyi's specialized field of practice, and what is the corresponding taxonomy classification code?

The Osaretin B Idusuyi's area of specialization is Orthopaedic Surgery, and the corresponding taxonomy code that categorizes this field of practice is 207X00000X.

On what date did the Osaretin B Idusuyi receive the assignment of its 1417944091 from the Centers for Medicare & Medicaid Services?

The Osaretin B Idusuyi was issued its 1417944091 by the Centers for Medicare & Medicaid Services on 2005-09-29.

As of what date was the information regarding Osaretin B Idusuyi, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Osaretin B Idusuyi, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2020-04-13.

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