Igharosa, Patrick Imonitie

Igharosa, Patrick Imonitie is an individual health care provider with primary practice located at 1201 W Frank Ave , Lufkin TX 75904-3357. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Igharosa, Patrick Imonitie can be contacted via phone (936) 639-7015.

Contact Information

Primary practice address
1201 W Frank Ave Lufkin TX 75904-3357
Phone: (936) 639-7015
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X S7243 Texas

Profile Details

NPI number 1336675032
LBN Legal business name Igharosa, Patrick Imonitie
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 2nd, 2017
Last updated Nov 2nd, 2020 - about 5 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 1336675032 NPPES
New York MEDICAID 1336675032

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