Loqman, Mabria

Loqman, Mabria is an individual health care provider with primary practice located at 2621 S Green Bay Rd , Racine WI 53406-4948. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Loqman, Mabria can be contacted via phone (262) 504-6150.

Contact Information

Primary practice address
2621 S Green Bay Rd Racine WI 53406-4948
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 38253 Wisconsin
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 036-097672 Illinois

Profile Details

NPI number 1891862678
LBN Legal business name Loqman, Mabria
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 29th, 2006
Last updated Dec 4th, 2023 - about 2 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 1891862678 NPPES
Illinois Other 036097672 STATE LICENSE
Illinois MEDICAID 32275700 STATE LICENSE

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