Igboko, Obioma J.
Igboko, Obioma J. is an individual health care provider with primary practice located at 400 East 3Rd Street Essentia Health Duluth Clinic, Duluth MN 55805. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Pain Medicine is her primary health care specialty. Igboko, Obioma J. can be contacted via phone (218) 786-8364.Contact Information
Primary practice address
400 East 3Rd Street Essentia Health Duluth Clinic
Duluth MN 55805
Phone: (218) 786-8364
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 52245 | Minnesota |
| Allopathic & Osteopathic Physicians / Pain Medicine | 2081P2900X | 52245 | Minnesota |
Profile Details
| NPI number | 1104082171 |
|---|---|
| LBN Legal business name | Igboko, Obioma J. |
| Credentials | MBBS |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 30th, 2008 |
| Last updated | Dec 2nd, 2015 - about 10 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 | 1104082171 | NPPES |
| Wisconsin | MEDICAID | 1104082171 | |
| Wisconsin | MEDICAID | 1104082171 |
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