Olisa, Charles O

Olisa, Charles O is an individual health care provider with primary practice located at 445 E Fm 1382 Suite 3- 265, Cedar Hill TX 75104. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is his primary health care specialty. Olisa, Charles O can be contacted via phone (469) 744-8844.

Contact Information

Primary practice address
445 E Fm 1382 Suite 3- 265 Cedar Hill TX 75104
Phone: (469) 744-8844
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 01066108A Indiana
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 01066108A Indiana
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X MD205030 Louisiana

Profile Details

NPI number 1265582837
LBN Legal business name Olisa, Charles O
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 12th, 2007
Last updated Jan 11th, 2024 - about 11 months 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 1265582837 NPPES
Florida MEDICAID 008839400
Florida Other 11948268

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