Kokoricha, Tobore Godwin
Kokoricha, Tobore Godwin is an individual health care provider with primary practice located at 2001 W 21St St , Clovis NM 88101-4086. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Kokoricha, Tobore Godwin can be contacted via phone (575) 935-1625.Contact Information
Primary practice address
2001 W 21St St
Clovis NM 88101-4086
Phone: (575) 935-1625
Fax: (575) 935-1626
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | MT1768748 | Pennsylvania |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | R1567 | Texas |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | MD20040599 | New Mexico |
Profile Details
| NPI number | 1962496307 |
|---|---|
| LBN Legal business name | Kokoricha, Tobore Godwin |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 31st, 2005 |
| Last updated | May 2nd, 2018 - about 7 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 | 1962496307 | NPPES |
| New Mexico | MEDICAID | 72821761 |
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