Doka, Fatuma

Doka, Fatuma is an sole proprietor health care provider with primary practice located at 111 S 11Th St , Philadelphia PA 19107-4824. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Doka, Fatuma can be contacted via phone (215) 955-1000.

Contact Information

Primary practice address
111 S 11Th St Philadelphia PA 19107-4824
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X VP004230C Pennsylvania

Profile Details

NPI number 1174715353
LBN Legal business name Doka, Fatuma
Credentials CRNP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 13th, 2007
Last updated Feb 12th, 2016 - about 9 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 1174715353 NPPES
Pennsylvania MEDICAID 103074403

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