Ibikunle, Jimmy O

Ibikunle, Jimmy O is an individual health care provider with primary practice located at 2078 Bernays Dr , York PA 17404-1493. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is his primary health care specialty. Ibikunle, Jimmy O can be contacted via phone (717) 764-2358.

Contact Information

Primary practice address
2078 Bernays Dr York PA 17404-1493
Phone: (717) 764-2358
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X MD073822L Pennsylvania
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry 2084P0804X MD073822L Pennsylvania

Profile Details

NPI number 1144264953
LBN Legal business name Ibikunle, Jimmy O
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 15th, 2006
Last updated May 10th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1144264953 NPPES
Pennsylvania Other 1448330 PA BLUE SHIELD
Pennsylvania Other 2103603 PA BLUE SHIELD
Pennsylvania Other 478844 PA BLUE SHIELD
Pennsylvania Other 50008800 PA BLUE SHIELD
Pennsylvania MEDICAID 001880921 PA BLUE SHIELD
Pennsylvania Other 618995 PA BLUE SHIELD
Pennsylvania Other 2088368 PA BLUE SHIELD
Pennsylvania Other 284716000 PA BLUE SHIELD

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