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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 4 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 1710975487 NPPES
Louisiana MEDICAID 1576212

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