Ibelema, Danielle
Ibelema, Danielle is an individual health care provider with primary practice located at 4062 Peachtree Rd Ne Ste A-536 , Brookhaven GA 30319-3021. She recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Adolescent Medicine, Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatrics is her primary health care specialty. Ibelema, Danielle can be contacted via phone (678) 322-8138.Contact Information
Primary practice address
4062 Peachtree Rd Ne Ste A-536
Brookhaven GA 30319-3021
Phone: (678) 322-8138
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Adolescent Medicine | 2080A0000X | 076263 | Georgia |
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 76263 | Georgia |
| Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry | 2084P0804X | 76263 | Georgia |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 76263 | Georgia |
Profile Details
| NPI number | 1326331042 |
|---|---|
| LBN Legal business name | Ibelema, Danielle |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 27th, 2011 |
| Last updated | Jan 13th, 2021 - about 3 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 | 1326331042 | NPPES |
| Georgia | Other | 076263 | MEDICAL LICENSE |
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