Igbaseimokumo, Usiakimi

Igbaseimokumo, Usiakimi is an individual health care provider with primary practice located at 4102 24Th St Ste 504 , Lubbock TX 79410. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurological Surgery, which is considered as his primary health care specialty. Igbaseimokumo, Usiakimi can be contacted via phone (806) 743-7700.

Contact Information

Primary practice address
4102 24Th St Ste 504 Lubbock TX 79410
Phone: (806) 743-7700
Fax: (806) 743-7703
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurological Surgery 207T00000X FTL41604 Texas

Profile Details

NPI number 1750465654
LBN Legal business name Igbaseimokumo, Usiakimi
Credentials MBBS, FRCS(C), MD
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 25th, 2006
Last updated Dec 3rd, 2021 - about 5 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 1750465654 NPPES
Missouri Other 782343 HEALTHLINK
Missouri MEDICAID 205463300 HEALTHLINK

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