Olomukoro, Oghenero Lucky

Olomukoro, Oghenero Lucky is an individual health care provider with primary practice located at 4 Memorial Dr Ste 210 , Alton IL 62002-6704. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is his primary health care specialty. Olomukoro, Oghenero Lucky can be contacted via phone (618) 465-8829.

Contact Information

Primary practice address
4 Memorial Dr Ste 210 Alton IL 62002-6704
Phone: (618) 465-8829
Fax: (618) 465-5499
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 209025704 Illinois

Profile Details

NPI number 1437899689
LBN Legal business name Olomukoro, Oghenero Lucky
Credentials PMHNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 29th, 2022
Last updated Oct 12th, 2022 - 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.

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