Olatidoye, Babatunde Adewale

Olatidoye, Babatunde Adewale is an individual health care provider with primary practice located at 2131 S 17Th St , Wilmington NC 28401-7407. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cytopathology, Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology. Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology is his primary health care specialty. Olatidoye, Babatunde Adewale can be contacted via phone (910) 362-9511.

Contact Information

Primary practice address
2131 S 17Th St Wilmington NC 28401-7407
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cytopathology 207ZC0500X 36869 North Carolina
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X 36869 North Carolina

Profile Details

NPI number 1063400133
LBN Legal business name Olatidoye, Babatunde Adewale
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 12th, 2005
Last updated Oct 16th, 2018 - about 6 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 1063400133 NPPES
Other 220030424 RAILROAD MEDICARE
MEDICAID 8964209 RAILROAD MEDICARE
MEDICAID Q36869 RAILROAD MEDICARE
Other 1055N RAILROAD MEDICARE

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