Okotie, Onisuru T
Okotie, Onisuru T is an sole proprietor health care provider with primary practice located at 2525 W University Ave Suite 504, Muncie IN 47303-3421. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Okotie, Onisuru T can be contacted via phone (765) 289-7444.Contact Information
Primary practice address
2525 W University Ave Suite 504
Muncie IN 47303-3421
Phone: (765) 289-7444
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Urology | 208800000X | 36117948 | Illinois |
Profile Details
| NPI number | 1649461559 |
|---|---|
| LBN Legal business name | Okotie, Onisuru T |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 6th, 2007 |
| Last updated | Sep 25th, 2019 - about 5 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 | 1649461559 | NPPES |
| Indiana | MEDICAID | 200993810 | |
| Indiana | Other | M400021858 |
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