Fashoro, Olatubosun
Fashoro, Olatubosun is an individual health care provider with primary practice located at 323 S Minnesota St , Crookston MN 56716-1601. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / General Practice, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Fashoro, Olatubosun can be contacted via phone (218) 281-9603.Contact Information
Primary practice address
323 S Minnesota St
Crookston MN 56716-1601
Phone: (218) 281-9603
Fax: (218) 281-9461
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / General Practice | 208D00000X | 9436 | North Dakota |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 49513 | Minnesota |
Profile Details
| NPI number | 1700823598 |
|---|---|
| LBN Legal business name | Fashoro, Olatubosun |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 1st, 2006 |
| Last updated | Feb 21st, 2017 - about 8 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 | 1700823598 | NPPES |
| Other | P00406999 | RAILROAD MEDICARE | |
| Other | 28040 | RAILROAD MEDICARE | |
| Other | 946L3FA | RAILROAD MEDICARE |
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