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
Health care specialties
Specialty | Code | License # | 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 3 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1972060283 | NPPES |
New York | Other | 132400594 | DRIVERS LICENSE |
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