Olomukoro, Stephen

Olomukoro, Stephen is an individual health care provider with primary practice located at 5401 Old Court Rd , Randallstown MD 21133-5103. He recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered. Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered is his primary health care specialty. Olomukoro, Stephen can be contacted via phone (410) 521-2200.

Contact Information

Primary practice address
5401 Old Court Rd Randallstown MD 21133-5103
Phone: (410) 521-2200
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X R152983 Maryland
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X R152983 Maryland

Profile Details

NPI number 1306175633
LBN Legal business name Olomukoro, Stephen
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 16th, 2009
Last updated Apr 25th, 2019 - about 7 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 1306175633 NPPES
Maryland MEDICAID 030075600

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