Ibeto, Ken

Ibeto, Ken is an individual health care provider with primary practice located at 7646 Forest Glen Way , Lithia Springs GA 30122-6867. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Home Health, which is considered as his primary health care specialty. Ibeto, Ken can be contacted via phone (678) 637-6249.

Contact Information

Primary practice address
7646 Forest Glen Way Lithia Springs GA 30122-6867
Phone: (678) 637-6249
Fax: (404) 393-4950
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Home Health 364SH0200X 048-R-2014 Georgia

Profile Details

NPI number 1053807347
LBN Legal business name Ibeto, Ken
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 10th, 2018
Last updated Jul 10th, 2018 - about 6 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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