Brimmo-Longe, Olufunke Louise

Brimmo-Longe, Olufunke Louise is an individual health care provider with primary practice located at 1116 N 16Th St , Lafayette IN 47904-2119. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Allopathic & Osteopathic Physicians / Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is her primary health care specialty. Brimmo-Longe, Olufunke Louise can be contacted via phone (765) 423-6300.

Contact Information

Primary practice address
1116 N 16Th St Lafayette IN 47904-2119
Phone: (765) 423-6300
Fax: (765) 423-6301
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 01066491A Indiana
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 01066491A Indiana

Profile Details

NPI number 1568418176
LBN Legal business name Brimmo-Longe, Olufunke Louise
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 25th, 2006
Last updated Mar 22nd, 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 1568418176 NPPES
Indiana MEDICAID 200956140
Indiana Other P01634463

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