Olatunbosun, Samuel Taiwo

Olatunbosun, Samuel Taiwo is an individual health care provider with primary practice located at 101 Bodin Cir , Travis Afb CA 94535-1809. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism. Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism is his primary health care specialty. Olatunbosun, Samuel Taiwo can be contacted via phone (707) 423-3000.

Contact Information

Primary practice address
101 Bodin Cir Travis Afb CA 94535-1809
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 036096973 Illinois
Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism 207RE0101X 036096973 Illinois

Profile Details

NPI number 1699850917
LBN Legal business name Olatunbosun, Samuel Taiwo
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 26th, 2006
Last updated Jun 2nd, 2022 - about 2 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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