Olatunji, Moses O

Olatunji, Moses O is an sole proprietor health care provider with primary practice located at 11115 Parkview Plaza Dr , Fort Wayne IN 46845-1701. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hospitalist, Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine. Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine is his primary health care specialty. Olatunji, Moses O can be contacted via phone (260) 672-4000.

Contact Information

Primary practice address
11115 Parkview Plaza Dr Fort Wayne IN 46845-1701
Fax: (260) 672-6459
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 01069915A Indiana
Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine 2080N0001X 01066506A Indiana

Profile Details

NPI number 1497996425
LBN Legal business name Olatunji, Moses O
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 22nd, 2009
Last updated Jan 30th, 2023 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1497996425 NPPES
Illinois MEDICAID 036087242
Illinois Other 000000641381
Illinois MEDICAID 200937490

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