Ibarra, Omar

Ibarra, Omar is an sole proprietor health care provider with primary practice located at 333 Laws Ave , Ukiah CA 95482-6540. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Ibarra, Omar can be contacted via phone (707) 468-1010.

Contact Information

Primary practice address
333 Laws Ave Ukiah CA 95482-6540
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA64594 California

Profile Details

NPI number 1548025570
LBN Legal business name Ibarra, Omar
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 19th, 2024
Last updated Jun 27th, 2024 - about 6 months 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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