Walusimbi, Mbaga S

Walusimbi, Mbaga S is an individual health care provider with primary practice located at 30 East Apple Street Suite 5253, Dayton OH 45409. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Trauma Surgery, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Trauma Surgery is his primary health care specialty. Walusimbi, Mbaga S can be contacted via phone (937) 208-2552.

Contact Information

Primary practice address
30 East Apple Street Suite 5253 Dayton OH 45409
Phone: (937) 208-2552
Fax: (937) 208-6154
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Trauma Surgery 2086S0127X 35.084491 Ohio
Allopathic & Osteopathic Physicians / Surgery 208600000X 35084491 Ohio

Profile Details

NPI number 1295791275
LBN Legal business name Walusimbi, Mbaga S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 26th, 2006
Last updated Jun 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1295791275 NPPES
Ohio MEDICAID 2483594

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