Fatile, Omokorede

Fatile, Omokorede is an sole proprietor health care provider with primary practice located at 1515 Reisterstown Rd Ste 304 , Pikesville MD 21208-4336. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Adult, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is his primary health care specialty. Fatile, Omokorede can be contacted via phone (718) 749-4346.

Contact Information

Primary practice address
1515 Reisterstown Rd Ste 304 Pikesville MD 21208-4336
Phone: (718) 749-4346
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Adult 364SP0809X R214086 Maryland
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X R214086 Maryland

Profile Details

NPI number 1275256992
LBN Legal business name Fatile, Omokorede
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 20th, 2022
Last updated Aug 4th, 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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