Fakolade, Olusade O

Fakolade, Olusade O is an individual health care provider with primary practice located at 833 Park East Blvd , Lafayette IN 47905-0785. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Nursing Service Providers / Psychiatric/Mental Health, Child & Adolescent. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Fakolade, Olusade O can be contacted via phone (765) 743-4400.

Contact Information

Primary practice address
833 Park East Blvd Lafayette IN 47905-0785
Phone: (765) 743-4400
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 71013601A Indiana
Nursing Service Providers / Psychiatric/Mental Health, Child & Adolescent 163WP0807X 71013601A Indiana

Profile Details

NPI number 1801594072
LBN Legal business name Fakolade, Olusade O
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 17th, 2023
Last updated Jun 1st, 2023 - about last year

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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