Ebong, Ima Mbodie
Ebong, Ima Mbodie is an individual health care provider with primary practice located at 740 S Limestone Ky Clinic J401 , Lexington KY 40536. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Clinical Neurophysiology, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Clinical Neurophysiology is her primary health care specialty. Ebong, Ima Mbodie can be contacted via phone (859) 323-5661.Contact Information
Primary practice address
740 S Limestone Ky Clinic J401
Lexington KY 40536
Phone: (859) 323-5661
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Clinical Neurophysiology | 2084N0600X | 51368 | Kentucky |
Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | Florida |
Profile Details
NPI number | 1891037230 |
---|---|
LBN Legal business name | Ebong, Ima Mbodie |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Mar 24th, 2013 |
Last updated | May 2nd, 2022 - about 2 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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