Ijomah, Kristina M

Ijomah, Kristina M is an individual health care provider with primary practice located at 2236 Marshall Ave , Saint Paul MN 55104-5799. She recently has only one registered license in Nursing Service Providers / Home Health, which is considered as her primary health care specialty. Ijomah, Kristina M can be contacted via phone (651) 332-5963.

Contact Information

Primary practice address
2236 Marshall Ave Saint Paul MN 55104-5799
Fax: (651) 659-0161
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Home Health 163WH0200X R108963-5 Minnesota

Profile Details

NPI number 1447586136
LBN Legal business name Ijomah, Kristina M
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 30th, 2009
Last updated Oct 30th, 2009 - about 15 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 1447586136 NPPES
Minnesota Other 868K1CA BLUE CROSS BLUE SHEILD
Minnesota MEDICAID 148313700 BLUE CROSS BLUE SHEILD

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