Provider Demographics
NPI:1336747781
Name:DAILY CARE TELEMDICINE INC
Entity Type:Organization
Organization Name:DAILY CARE TELEMDICINE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:SHEFIU
Authorized Official - Middle Name:OLANREWAJU
Authorized Official - Last Name:SHITTU
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:951-852-1247
Mailing Address - Street 1:323 N MORRISON ST
Mailing Address - Street 2:
Mailing Address - City:APPLETON
Mailing Address - State:WI
Mailing Address - Zip Code:54911-5404
Mailing Address - Country:US
Mailing Address - Phone:920-202-4769
Mailing Address - Fax:920-393-9360
Practice Address - Street 1:323 N MORRISON ST
Practice Address - Street 2:
Practice Address - City:APPLETON
Practice Address - State:WI
Practice Address - Zip Code:54911-5404
Practice Address - Country:US
Practice Address - Phone:920-202-4769
Practice Address - Fax:920-393-9360
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-10-16
Last Update Date:2020-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service