Olawale, Ayodeji Bamidele
Olawale, Ayodeji Bamidele is an sole proprietor health care provider with primary practice located at 267 Grant St , Bridgeport CT 06610-2805. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as his primary health care specialty. Olawale, Ayodeji Bamidele can be contacted via phone (203) 384-3709.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | R210564 | Maryland |
| Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | 10362 | Connecticut |
Profile Details
| NPI number | 1598395725 |
|---|---|
| LBN Legal business name | Olawale, Ayodeji Bamidele |
| Credentials | PMHNP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 15th, 2020 |
| Last updated | Sep 6th, 2022 - about 2 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 | 1598395725 | NPPES |
| Connecticut | MEDICAID | 1598395725 |
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