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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 7 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 1750649455 NPPES
Wisconsin Other 56761 WI STATE LIC

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