Fagbenro, Modinat Oluwatoyin
Fagbenro, Modinat Oluwatoyin is an sole proprietor health care provider with primary practice located at 4105 Daylily Dr , Owings Mills MD 21117-5034. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Fagbenro, Modinat Oluwatoyin can be contacted via phone (410) 800-4471.Contact Information
Primary practice address
4105 Daylily Dr
Owings Mills MD 21117-5034
Phone: (410) 800-4471
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | R210603 | Maryland |
Profile Details
| NPI number | 1063061034 |
|---|---|
| LBN Legal business name | Fagbenro, Modinat Oluwatoyin |
| Credentials | PMHNP-BC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 11th, 2019 |
| Last updated | Oct 23rd, 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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