Igbaseimokumo, Usiakimi
Igbaseimokumo, Usiakimi is an individual health care provider with primary practice located at 4102 24Th St Ste 504 , Lubbock TX 79410. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurological Surgery, which is considered as his primary health care specialty. Igbaseimokumo, Usiakimi can be contacted via phone (806) 743-7700.Contact Information
Primary practice address
4102 24Th St Ste 504
Lubbock TX 79410
Phone: (806) 743-7700
Fax: (806) 743-7703
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Neurological Surgery | 207T00000X | FTL41604 | Texas |
Profile Details
NPI number | 1750465654 |
---|---|
LBN Legal business name | Igbaseimokumo, Usiakimi |
Credentials | MBBS, FRCS(C), MD |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Oct 25th, 2006 |
Last updated | Dec 3rd, 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1750465654 | NPPES |
Missouri | Other | 782343 | HEALTHLINK |
Missouri | MEDICAID | 205463300 | HEALTHLINK |
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