Famojuro, Olumide Isaac

Famojuro, Olumide Isaac is an individual health care provider with primary practice located at 83 Van Buren St , Freeport NY 11520-6226. He recently has 2 registered licenses in different health care specialties including Nursing Service Providers / School, Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered. Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered is his primary health care specialty. Famojuro, Olumide Isaac can be contacted via phone (347) 837-9177.

Contact Information

Primary practice address
83 Van Buren St Freeport NY 11520-6226
Phone: (347) 837-9177
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / School 163WS0200X 661135 New York
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 133988 New York

Profile Details

NPI number 1972060283
LBN Legal business name Famojuro, Olumide Isaac
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 22nd, 2019
Last updated Jan 15th, 2021 - 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 1972060283 NPPES
New York Other 132400594 DRIVERS LICENSE

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