Etti, Olanrewaju W

Etti, Olanrewaju W is an sole proprietor health care provider with primary practice located at 402 E 25Th St , Baltimore MD 21218-5304. He recently has only one registered license in Agencies / Community/Behavioral Health, which is considered as his primary health care specialty. Etti, Olanrewaju W can be contacted via phone (410) 889-3000.

Contact Information

Primary practice address
402 E 25Th St Baltimore MD 21218-5304
Fax: (410) 889-3003
Website:

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X

Profile Details

NPI number 1962038075
LBN Legal business name Etti, Olanrewaju W
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 20th, 2020
Last updated Mar 20th, 2020 - about 4 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 1962038075 NPPES
Maryland Other 4436004067 CELLPHONE NUMBER

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