Etti, Olanrewaju W
Etti, Olanrewaju W is an sole proprietor health care provider with primary practice located at 402 E 25Th St , Baltimore MD 21218-5304. He recently has only one registered license in Agencies / Community/Behavioral Health, which is considered as his primary health care specialty. Etti, Olanrewaju W can be contacted via phone (410) 889-3000.Contact Information
Primary practice address
402 E 25Th St
Baltimore MD 21218-5304
Phone: (410) 889-3000
Fax: (410) 889-3003
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Agencies / Community/Behavioral Health | 251S00000X |
Profile Details
| NPI number | 1962038075 |
|---|---|
| LBN Legal business name | Etti, Olanrewaju W |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 20th, 2020 |
| Last updated | Mar 20th, 2020 - about 6 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 | 1962038075 | NPPES |
| Maryland | Other | 4436004067 | CELLPHONE NUMBER |
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