Etokakpan, Mboutidem
Etokakpan, Mboutidem is an individual health care provider with primary practice located at 50 Moisey Dr , Hazle Township PA 18202-9297. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Etokakpan, Mboutidem can be contacted via phone (570) 501-6900.Contact Information
Primary practice address
50 Moisey Dr
Hazle Township PA 18202-9297
Phone: (570) 501-6900
Fax: (570) 501-6945
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 35.138339 | Ohio |
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | MD469829 | Pennsylvania |
Profile Details
| NPI number | 1467851634 |
|---|---|
| LBN Legal business name | Etokakpan, Mboutidem |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 14th, 2014 |
| Last updated | Jul 26th, 2022 - 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.
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