Olatubosun Fashoro in Crookston - General Practice
Olatubosun Fashoro - NPI 1700823598
Olatubosun Fashoro is a General Practice in Crookston, Minnesota. Olatubosun Fashoro practices all healthcare services and medical treatments related to General Practice. The NPI Number for Olatubosun Fashoro is 1700823598. The last update date is 2017-02-21.
Olatubosun Fashoro's current location address is 323 S Minnesota St, Crookston, Minnesota. You can contact this provider via phone number 2182819603 and fax number 2182819461. The mailing address for Olatubosun Fashoro is 323 S Minnesota St, Crookston, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Olatubosun Fashoro |
|---|---|
| Address | 323 S Minnesota St, Crookston, Minnesota |
| Phone Number | 2182819603 |
| Fax Number | 2182819461 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1700823598 |
|---|---|
| Provider Enumeration Date | 2006-06-01 |
| Last Updated Date | 2017-02-21 |
Provider Mailing Address Detail
| Address | 323 S Minnesota St |
|---|---|
| City | Crookston |
| State | Minnesota (MN) |
| Post Code | 567161601 |
| Phone Number | 2182819603 |
| Fax Number | 2182819461 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 208D00000X |
| Licence No | 9436 |
|
Definition: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| P00406999 | RAILROAD MEDICARE | ||
| 28040 | BCBS ND | ||
| 946L3FA | MN | BCBS MN |
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What is the Olatubosun Fashoro's 1700823598?
The Olatubosun Fashoro's NPI (National Provider Identifier) Number is 1700823598. 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 Olatubosun Fashoro is physically located?
The Olatubosun Fashoro is physically situated at the following address: 323 S Minnesota St, Crookston, MN, 567161601.
What is Olatubosun Fashoro's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Olatubosun Fashoro is General Practice, and the taxonomy code that classifies this field of practice is 208D00000X.
When did the Olatubosun Fashoro receive its 1700823598?
The Olatubosun Fashoro was issued its 1700823598 on 2006-06-01, which is the date when the organization was assigned this unique identifier.
As of what date were the details related to Olatubosun Fashoro most recently updated or revised?
The information pertaining to Olatubosun Fashoro, including its address, specialty, and other relevant details, was last updated or revised on 2017-02-21.
NPI Number: 1528061710
Address: 19 Nh Route 104, Meredith, NH