Omoto, Raphael
Omoto, Raphael is an sole proprietor health care provider with primary practice located at 7420 Unity Ave N Ste 310C , Brooklyn Park MN 55443-3162. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as his primary health care specialty. Omoto, Raphael can be contacted via phone (612) 212-2595.Contact Information
Primary practice address
7420 Unity Ave N Ste 310C
Brooklyn Park MN 55443-3162
Phone: (612) 212-2595
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | 9968 | Minnesota |
Profile Details
| NPI number | 1245939495 |
|---|---|
| LBN Legal business name | Omoto, Raphael |
| Credentials | Certified Nurse Practitioner (CNP) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 27th, 2023 |
| Last updated | Jul 7th, 2023 - 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.
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