Fadare, Samuel O

Fadare, Samuel O is an individual health care provider with primary practice located at 5604 Ne Antioch Rd , Gladstone MO 64119-2327. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Fadare, Samuel O can be contacted via phone (660) 372-1313.

Contact Information

Primary practice address
5604 Ne Antioch Rd Gladstone MO 64119-2327
Phone: (660) 372-1313
Fax: (660) 372-1339
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 04-24672 Kansas
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 4301063006 Michigan
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 90387 Georgia
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X ME157175 Florida
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 103939 Missouri

Profile Details

NPI number 1184685802
LBN Legal business name Fadare, Samuel O
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 31st, 2006
Last updated Oct 6th, 2022 - about 2 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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