Omolade, Samuel Olaoluwa

Omolade, Samuel Olaoluwa is an sole proprietor health care provider with primary practice located at 11650 Mccree Rd , Dallas TX 75238-5224. He recently has 4 registered licenses in different health care specialties including Nursing Service Providers / Licensed Practical Nurse, Nursing Service Providers / Administrator, Other Service Providers / Case Manager/Care Coordinator, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is his primary health care specialty. Omolade, Samuel Olaoluwa can be contacted via phone (718) 304-4906.

Contact Information

Primary practice address
11650 Mccree Rd Dallas TX 75238-5224
Phone: (718) 304-4906
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X 320878-1 New York
Nursing Service Providers / Administrator 163WA2000X 958104 Texas
Other Service Providers / Case Manager/Care Coordinator 171M00000X 958104 Texas
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X AP61366158 Washington
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 1099855 Texas

Profile Details

NPI number 1548799141
LBN Legal business name Omolade, Samuel Olaoluwa
Credentials APRN PMHNP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 7th, 2017
Last updated Jul 15th, 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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