Iboaya, Iyabo A

Iboaya, Iyabo A is an individual health care provider with primary practice located at 1005 Bellefontaine Ave Suite 100, Lima OH 45804-2851. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is her primary health care specialty. Iboaya, Iyabo A can be contacted via phone (419) 227-5298.

Contact Information

Primary practice address
1005 Bellefontaine Ave Suite 100 Lima OH 45804-2851
Phone: (419) 227-5298
Fax: (419) 227-5879
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 2002014445 Missouri
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 35092246 Ohio

Profile Details

NPI number 1508846783
LBN Legal business name Iboaya, Iyabo A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 22nd, 2006
Last updated Sep 6th, 2011 - about 13 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 1508846783 NPPES
Mississippi MEDICAID 09379834
Mississippi MEDICAID 2902970

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