Omoto, Raphael

Omoto, Raphael is an sole proprietor health care provider with primary practice located at 7420 Unity Ave N Ste 310C , Brooklyn Park MN 55443-3162. 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. Omoto, Raphael can be contacted via phone (612) 212-2595.

Contact Information

Primary practice address
7420 Unity Ave N Ste 310C Brooklyn Park MN 55443-3162
Phone: (612) 212-2595
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 9968 Minnesota

Profile Details

NPI number 1245939495
LBN Legal business name Omoto, Raphael
Credentials Certified Nurse Practitioner (CNP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 27th, 2023
Last updated Jul 7th, 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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