Ehanire, Imudia Dekonte
Ehanire, Imudia Dekonte is an individual health care provider with primary practice located at 305 W 15Th St Ste 204, Liberal KS 67901-2455. She recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as her primary health care specialty. Ehanire, Imudia Dekonte can be contacted via phone (620) 624-4946.Contact Information
Primary practice address
305 W 15Th St Ste 204
Liberal KS 67901-2455
Phone: (620) 624-4946
Fax: (620) 624-2260
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 0439349 | Kansas |
Profile Details
| NPI number | 1427285311 |
|---|---|
| LBN Legal business name | Ehanire, Imudia Dekonte |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 17th, 2009 |
| Last updated | Mar 8th, 2017 - about 8 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1427285311 | NPPES |
| Oklahoma | MEDICAID | 200655770A | |
| Oklahoma | MEDICAID | 201142810A |
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