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:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1508846783 | NPPES |
| Mississippi | MEDICAID | 09379834 | |
| Mississippi | MEDICAID | 2902970 |
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