Omotosho, Toyin Kikelomo
Omotosho, Toyin Kikelomo is an sole proprietor health care provider with primary practice located at 2908 Montalbo , Grand Prairie TX 75054-6506. She recently has only one registered license in Ambulatory Health Care Facilities / Developmental Disabilities, which is considered as her primary health care specialty. Omotosho, Toyin Kikelomo can be contacted via phone (972) 352-9449.Contact Information
Primary practice address
2908 Montalbo
Grand Prairie TX 75054-6506
Phone: (972) 352-9449
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Developmental Disabilities | 261QD1600X |
Profile Details
| NPI number | 1760957070 |
|---|---|
| LBN Legal business name | Omotosho, Toyin Kikelomo |
| Credentials | Registered Nurse (RN) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 12th, 2018 |
| Last updated | Mar 13th, 2019 - about 5 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 | 1760957070 | NPPES |
| Texas | MEDICAID | 23316098 |
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