Fashusi, Israel Olusegun
Fashusi, Israel Olusegun is an sole proprietor health care provider with primary practice located at 10552 Flatlands 8Th St , Brooklyn NY 11236-4622. He recently has 6 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Nursing Service Providers / Addiction (Substance Use Disorder), Nursing Service Providers / Case Management, Nursing Service Providers / Community Health, Nursing Service Providers / Home Health, Nursing Service Providers / Psychiatric/Mental Health. Nursing Service Providers / Registered Nurse is his primary health care specialty. Fashusi, Israel Olusegun can be contacted via phone (917) 916-7769.Contact Information
Primary practice address
10552 Flatlands 8Th St
Brooklyn NY 11236-4622
Phone: (917) 916-7769
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Registered Nurse | 163W00000X | 563386 | New York |
| Nursing Service Providers / Addiction (Substance Use Disorder) | 163WA0400X | 563386 | New York |
| Nursing Service Providers / Case Management | 163WC0400X | 563386 | New York |
| Nursing Service Providers / Community Health | 163WC1500X | 563386 | New York |
| Nursing Service Providers / Home Health | 163WH0200X | 563386 | New York |
| Nursing Service Providers / Psychiatric/Mental Health | 163WP0808X | 563386 | New York |
Profile Details
| NPI number | 1043580707 |
|---|---|
| LBN Legal business name | Fashusi, Israel Olusegun |
| Credentials | Registered Nurse (RN) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 11th, 2012 |
| Last updated | Jan 11th, 2012 - about 12 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 | 1043580707 | NPPES |
| New York | MEDICAID | 1 |
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