Umobong, Etieno Usen

Umobong, Etieno Usen is an individual health care provider with primary practice located at 2005 Technology Pkwy Ste 300 , Mechanicsburg PA 17050-9423. She recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Surgery, Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Pulmonary Disease. Allopathic & Osteopathic Physicians / Pulmonary Disease is her primary health care specialty. Umobong, Etieno Usen can be contacted via phone (717) 988-5864.

Contact Information

Primary practice address
2005 Technology Pkwy Ste 300 Mechanicsburg PA 17050-9423
Phone: (717) 988-5864
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MD471227 Pennsylvania
Allopathic & Osteopathic Physicians / Surgery 208600000X MT200560 Pennsylvania
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X TO BE ISSUED New York
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X MD471227 Pennsylvania

Profile Details

NPI number 1467748657
LBN Legal business name Umobong, Etieno Usen
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 26th, 2011
Last updated Aug 27th, 2021 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1467748657 NPPES
Pennsylvania MEDICAID 103787651

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