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:
Health care specialties
Specialty | Code | License # | 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 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1467748657 | NPPES |
Pennsylvania | MEDICAID | 103787651 |
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