Togun, Modupe
Togun, Modupe is an sole proprietor health care provider with primary practice located at 3110 N Rolling Rd , Windsor Mill MD 21244-2023. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Togun, Modupe can be contacted via phone (410) 298-1931.Contact Information
Primary practice address
3110 N Rolling Rd
Windsor Mill MD 21244-2023
Phone: (410) 298-1931
Fax: (410) 298-1932
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | R167650 | Maryland |
| Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | R167650 | Maryland |
Profile Details
| NPI number | 1033340278 |
|---|---|
| LBN Legal business name | Togun, Modupe |
| Credentials | DNP, FNP-BC, PMHNP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 6th, 2009 |
| Last updated | Nov 16th, 2021 - about 3 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 | 1033340278 | NPPES |
| Maryland | MEDICAID | 033777300 |
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