Beaird, Omolola
Beaird, Omolola is an individual health care provider with primary practice located at 4401 W Western Ave Ste C , South Bend IN 46619-2645. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Primary Care, which is considered as her primary health care specialty. Beaird, Omolola can be contacted via phone (574) 725-7006.Contact Information
Primary practice address
4401 W Western Ave Ste C
South Bend IN 46619-2645
Phone: (574) 725-7006
Fax: (574) 807-9614
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Primary Care | 363LP2300X | 28207413A | Indiana |
Profile Details
| NPI number | 1558960179 |
|---|---|
| LBN Legal business name | Beaird, Omolola |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 24th, 2020 |
| Last updated | Feb 2nd, 2021 - about 3 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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