Ibrahim, Madonna

Ibrahim, Madonna is an individual health care provider with primary practice located at 7910 Frost St Ste 320 , San Diego CA 92123. She recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Prosthetist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthotist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Prosthetist is her primary health care specialty. Ibrahim, Madonna can be contacted via phone (619) 488-6196.

Contact Information

Primary practice address
7910 Frost St Ste 320 San Diego CA 92123
Phone: (619) 488-6196
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Prosthetist 224P00000X CPO04103
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthotist 222Z00000X CPO04103

Profile Details

NPI number 1992281489
LBN Legal business name Ibrahim, Madonna
Credentials CPO
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 17th, 2018
Last updated Jul 17th, 2018 - about 8 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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