| Rightplace Family Clinic | |
|
10296 Baltimore National Pike Ste A Ellicott City MD 21042-3670 | |
| (240) 732-1009 | |
| (410) 720-2745 |
| Full Name | Rightplace Family Clinic |
|---|---|
| Speciality | Nurse Practitioner |
| Location | 10296 Baltimore National Pike Ste A, Ellicott City, Maryland |
| Authorized Official Name and Position | Olanireti O Onabanjo (CEO) |
| Authorized Official Contact | 2407321009 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Rightplace Family Clinic 10296 Baltimore National Pike Ste A Ellicott City MD 21042-3670 Ph: (240) 732-1009 | Rightplace Family Clinic 10296 Baltimore National Pike Ste A Ellicott City MD 21042-3670 Ph: (240) 732-1009 |
| NPI Number | 1174168033 |
|---|---|
| Provider Enumeration Date | 11/14/2019 |
| Last Update Date | 07/21/2023 |
| Certification Date | 03/21/2023 |
| Medicare PECOS PAC ID | 5395162275 |
|---|---|
| Medicare Enrollment ID | O20200825000674 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174168033 | NPI | - | NPPES |
| 907673500 | Medicaid | MD |
| Provider Name | Olanireti Onabanjo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316156391 PECOS PAC ID: 0345574307 Enrollment ID: I20190625001193 |
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