Fagbemi, Olumide Samson

Fagbemi, Olumide Samson is an individual health care provider with primary practice located at 1118 Lucas St , Calumet City IL 60409-2408. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as his primary health care specialty. Fagbemi, Olumide Samson can be contacted via phone (708) 785-2238.

Contact Information

Primary practice address
1118 Lucas St Calumet City IL 60409-2408
Phone: (708) 785-2238
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 209.022296 Illinois

Profile Details

NPI number 1013163765
LBN Legal business name Fagbemi, Olumide Samson
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 13th, 2008
Last updated Nov 18th, 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.

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