Oklota Fadell, Carrie

Oklota Fadell, Carrie is an individual health care provider with primary practice located at 4308 Belmont Ave , Youngstown OH 44505-1052. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Oklota Fadell, Carrie can be contacted via phone (330) 759-9670.

Contact Information

Primary practice address
4308 Belmont Ave Youngstown OH 44505-1052
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 86251 Ohio

Profile Details

NPI number 1184607830
LBN Legal business name Oklota Fadell, Carrie
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 28th, 2005
Last updated Nov 8th, 2007 - about 16 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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Identifiers

StateTypeNumberIssuer
All States NPI 1184607830 NPPES
Ohio MEDICAID 2580121

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