Idubor, Imose
Idubor, Imose is an sole proprietor health care provider with primary practice located at 1067 Ivey Chase Pl , Dacula GA 30019-7866. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Idubor, Imose can be contacted via phone (678) 670-9626.Contact Information
Primary practice address
1067 Ivey Chase Pl
Dacula GA 30019-7866
Phone: (678) 670-9626
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | RN261495 | Georgia |
Profile Details
| NPI number | 1194466607 |
|---|---|
| LBN Legal business name | Idubor, Imose |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 6th, 2022 |
| Last updated | Apr 11th, 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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