Mogbo, Kirsten I
Mogbo, Kirsten I is an individual health care provider with primary practice located at 2799 W. Grand Blvd. , Detroit MI 48202. She recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as her primary health care specialty. Mogbo, Kirsten I can be contacted via phone (214) 645-9729.Contact Information
Primary practice address
2799 W. Grand Blvd.
Detroit MI 48202
Phone: (214) 645-9729
Fax: (214) 645-9289
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 4301059222 | Michigan |
Profile Details
| NPI number | 1568426294 |
|---|---|
| LBN Legal business name | Mogbo, Kirsten I |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 12th, 2006 |
| Last updated | Mar 25th, 2014 - about 10 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 | 1568426294 | NPPES |
| Texas | MEDICAID | 118182804 |
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