Ibrahim, Fadumo

Ibrahim, Fadumo is an individual health care provider with primary practice located at 3505 8Th St S Ste 4 , Moorhead MN 56560-5108. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Other Service Providers / Case Manager/Care Coordinator. Other Service Providers / Case Manager/Care Coordinator is her primary health care specialty. Ibrahim, Fadumo can be contacted via phone (701) 541-5975.

Contact Information

Primary practice address
3505 8Th St S Ste 4 Moorhead MN 56560-5108
Phone: (701) 541-5975
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X R48749 North Dakota
Other Service Providers / Case Manager/Care Coordinator 171M00000X

Profile Details

NPI number 1598393993
LBN Legal business name Ibrahim, Fadumo
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 31st, 2020
Last updated Jan 23rd, 2023 - about last year

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 1598393993 NPPES
North Dakota MEDICAID 1487283

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