Agbim, Ifunanya

Agbim, Ifunanya is an individual health care provider with primary practice located at 9000 W Wisconsin Ave , Milwaukee WI 53226-4874. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Gastroenterology, which is considered as her primary health care specialty. Agbim, Ifunanya can be contacted via phone (414) 266-3690.

Contact Information

Primary practice address
9000 W Wisconsin Ave Milwaukee WI 53226-4874
Fax: (414) 266-3676
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Gastroenterology 2080P0206X 81636 Wisconsin

Profile Details

NPI number 1952795288
LBN Legal business name Agbim, Ifunanya
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 25th, 2015
Last updated Jul 14th, 2023 - about last year

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 1952795288 NPPES
Wisconsin MEDICAID 1952795288

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