Omosowon, Samson Folorunsho
Omosowon, Samson Folorunsho is an sole proprietor health care provider with primary practice located at 4078 E Aspen Way , Gilbert AZ 85234-7506. He recently has only one registered license in Agencies / Home Health, which is considered as his primary health care specialty. Omosowon, Samson Folorunsho can be contacted via phone (480) 335-3099.Contact Information
Primary practice address
4078 E Aspen Way
Gilbert AZ 85234-7506
Phone: (480) 335-3099
Fax: (480) 621-8748
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Agencies / Home Health | 251E00000X | RN156392 | Arizona |
Profile Details
| NPI number | 1154676021 |
|---|---|
| LBN Legal business name | Omosowon, Samson Folorunsho |
| Credentials | RN, CSCM |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 17th, 2012 |
| Last updated | Jul 17th, 2012 - about 13 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 | 1154676021 | NPPES |
| Arizona | MEDICAID | 658864 | |
| Arizona | MEDICAID | RN156392 |
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