Shominure, Omolola Gloria
Shominure, Omolola Gloria is an sole proprietor health care provider with primary practice located at 909 Ridgebrook Rd Ste 220 , Sparks MD 21152-9476. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Shominure, Omolola Gloria can be contacted via phone (443) 383-9300.Contact Information
Primary practice address
909 Ridgebrook Rd Ste 220
Sparks MD 21152-9476
Phone: (443) 383-9300
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | F07202210 | Maryland |
Profile Details
| NPI number | 1871104448 |
|---|---|
| LBN Legal business name | Shominure, Omolola Gloria |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 16th, 2020 |
| Last updated | Oct 22nd, 2020 - about 4 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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