OLIVE TREE MEDICAL SERVICES LLC NPI 1093522989

NPI Information

  • NPI: 1093522989
  • Provider Name: OLIVE TREE MEDICAL SERVICES LLC
  • Classification: Clinic/Center - 261QP2300X
  • Specialization: Primary Care
  • Entity Type: Organization
  • Address: 6865 PARKDALE PL
    INDIANAPOLIS, IN
    ZIP 46254
  • Phone: (317) 440-5342

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NPI Details

OLIVE TREE MEDICAL SERVICES LLC is a primary care clinic center in Indianapolis, IN. OLIVE TREE MEDICAL SERVICES LLC NPI is 1093522989. The provider is registered as an organization entity type.

The provider's business location address is:

6865 PARKDALE PL
INDIANAPOLIS, IN
ZIP 46254-654
Phone: (317) 440-5342

The provider's authorized official is Adebayo Ebenezer Fatoki .
The authorized official title is Provider and has the following contact phone number (317) 440-5342.

The enumeration date for this NPI number is 12/13/2024 and was last updated on 12/13/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QP2300XClinic/CenterPrimary CareYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

NPI Synchronization or Removal

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