Diallo, Ibrahima T

Diallo, Ibrahima T is an sole proprietor health care provider with primary practice located at 135 Bloomfield Ave Ste F , Bloomfield NJ 07003-5902. He recently has 3 registered licenses in different health care specialties including Nursing Service Providers / School, Student, Health Care / Student in an Organized Health Care Education/Training Program, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is his primary health care specialty. Diallo, Ibrahima T can be contacted via phone (862) 213-0033.

Contact Information

Primary practice address
135 Bloomfield Ave Ste F Bloomfield NJ 07003-5902
Phone: (862) 213-0033
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / School 163WS0200X 727968-1 New York
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 26NJ01390500 New Jersey

Profile Details

NPI number 1639651714
LBN Legal business name Diallo, Ibrahima T
Credentials Advanced Practice Nurse (APN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 5th, 2018
Last updated Aug 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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