Mwatibo, James M.
Mwatibo, James M. is an individual health care provider with primary practice located at 501 W Saint Mary Blvd Ste 320 , Lafayette LA 70506-4693. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Mwatibo, James M. can be contacted via phone (337) 470-3120.Contact Information
Primary practice address
501 W Saint Mary Blvd Ste 320
Lafayette LA 70506-4693
Phone: (337) 470-3120
Fax: (337) 470-2320
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 14561R | Louisiana |
Profile Details
NPI number | 1710975487 |
---|---|
LBN Legal business name | Mwatibo, James M. |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Oct 7th, 2005 |
Last updated | Jun 30th, 2022 - about 3 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 | 1710975487 | NPPES |
Louisiana | MEDICAID | 1576212 |
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