Obasi, Ikenna E
Obasi, Ikenna E is an individual health care provider with primary practice located at 1811 Weir Dr Ste 270 , Woodbury MN 55125-6741. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is his primary health care specialty. Obasi, Ikenna E can be contacted via phone (651) 714-9646.Contact Information
Primary practice address
1811 Weir Dr Ste 270
Woodbury MN 55125-6741
Phone: (651) 714-9646
Fax: (651) 714-9647
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | 56761 | Wisconsin |
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 56761 | Wisconsin |
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 63230 | Minnesota |
Profile Details
| NPI number | 1750649455 |
|---|---|
| LBN Legal business name | Obasi, Ikenna E |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 1st, 2012 |
| Last updated | Nov 19th, 2018 - about 6 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 | 1750649455 | NPPES |
| Wisconsin | Other | 56761 | WI STATE LIC |
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