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
Phone: (262) 504-6150
Fax:
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1891862678 | NPPES |
Illinois | Other | 036097672 | STATE LICENSE |
Illinois | MEDICAID | 32275700 | STATE LICENSE |
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