Mbanugo, Collin A
Mbanugo, Collin A is an sole proprietor health care provider with primary practice located at 3300 Webster St Suite 900, Oakland CA 94609-3117. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Mbanugo, Collin A can be contacted via phone (510) 272-9610.Contact Information
Primary practice address
3300 Webster St Suite 900
Oakland CA 94609-3117
Phone: (510) 272-9610
Fax: (510) 272-9612
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 00C411000 | California |
Profile Details
| NPI number | 1134271471 |
|---|---|
| LBN Legal business name | Mbanugo, Collin A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 17th, 2007 |
| Last updated | Jan 13th, 2016 - about 9 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 | 1134271471 | NPPES |
| California | MEDICAID | 00C411000 |
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