Ansine, Ibkhan

Ansine, Ibkhan is an individual health care provider with primary practice located at 301 Highway 65 S , Mora MN 55051-1899. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Ansine, Ibkhan can be contacted via phone (320) 225-3335.

Contact Information

Primary practice address
301 Highway 65 S Mora MN 55051-1899
Fax: (320) 225-3345
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 41439 Minnesota

Profile Details

NPI number 1194786467
LBN Legal business name Ansine, Ibkhan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 28th, 2006
Last updated Jul 9th, 2007 - about 17 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 1194786467 NPPES
Minnesota Other 12D50AN BC PROVIDER NUMBER

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