Mr Adewale S Omoniyi, NURSE is a
Licensed Vocational Nurse based in Providence, Rhode Island. Mr Adewale S Omoniyi is licensed to practice in Massachusetts (license number LN91103) and his current practice location is
11 S Angell St # 383, Providence, Rhode Island. He can be reached at his office (for appointments etc.) via phone at
(401) 516-1804.
NPI number for Mr Adewale S Omoniyi is 1427406651 and his current mailing address is 11 S Angell St # 383, Providence, Rhode Island. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1427406651.
Provider's Profile
| Full Name | Mr Adewale S Omoniyi |
|---|
| Gender | Male |
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| Speciality | Licensed Vocational Nurse |
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| Location | 11 S Angell St # 383, Providence, Rhode Island |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1427406651
- Provider Enumeration Date: 05/27/2016
- Last Update Date: 05/27/2016
Medical Identifiers
Medical identifiers for Mr Adewale S Omoniyi such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1427406651 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 164X00000X | Licensed Vocational Nurse | LN91103 (Massachusetts) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Adewale S Omoniyi is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mr Adewale S Omoniyi, NURSE
11 S Angell St # 383,
Providence, RI 02906-5206
Ph: (401) 516-1804 | Mr Adewale S Omoniyi, NURSE
11 S Angell St # 383,
Providence, RI 02906-5206
Ph: (401) 516-1804 |
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