Egbonim, Donatus M.
Egbonim, Donatus M. is an individual health care provider with primary practice located at 801 W Maple St , Farmington NM 87401-5630. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Egbonim, Donatus M. can be contacted via phone (505) 609-2000.Contact Information
Primary practice address
801 W Maple St
Farmington NM 87401-5630
Phone: (505) 609-2000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | N3018 | Texas |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 20233 | South Carolina |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | N3018 | Texas |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | MD2018-0202 | New Mexico |
Profile Details
| NPI number | 1962440875 |
|---|---|
| LBN Legal business name | Egbonim, Donatus M. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 3rd, 2006 |
| Last updated | Nov 14th, 2024 - about 2 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 | 1962440875 | NPPES |
| South Carolina | Other | P00423235 | RAILROAD MEDICARE |
| South Carolina | MEDICAID | 202337 | RAILROAD MEDICARE |
| South Carolina | Other | 0116367 | RAILROAD MEDICARE |
| South Carolina | Other | 20049632 | RAILROAD MEDICARE |
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