Odewale, Yekeen

Odewale, Yekeen is an sole proprietor health care provider with primary practice located at 5411 Old Frederick Rd Ste 7 , Baltimore MD 21229. He recently has 2 registered licenses in different health care specialties including Nursing Service 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. Odewale, Yekeen can be contacted via phone (410) 762-8945.

Contact Information

Primary practice address
5411 Old Frederick Rd Ste 7 Baltimore MD 21229
Phone: (410) 762-8945
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Psychiatric/Mental Health, Adult 163WP0809X R212715 Maryland
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X R212715 Maryland

Profile Details

NPI number 1184175697
LBN Legal business name Odewale, Yekeen
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 19th, 2016
Last updated Jul 20th, 2020 - 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 1184175697 NPPES
Maryland MEDICAID 117396100

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