Ikomi, Jolomi T

Ikomi, Jolomi T is an individual health care provider with primary practice located at 501 W 14Th St Ste 3N74 , Wilmington DE 19801-1013. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Addiction Psychiatry, Allopathic & Osteopathic Physicians / Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is his primary health care specialty. Ikomi, Jolomi T can be contacted via phone (302) 320-2963.

Contact Information

Primary practice address
501 W 14Th St Ste 3N74 Wilmington DE 19801-1013
Phone: (302) 320-2963
Fax: (302) 320-4934
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Addiction Psychiatry 2084P0802X C1-0012194 Delaware
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X C1-0012194 Delaware

Profile Details

NPI number 1396911640
LBN Legal business name Ikomi, Jolomi T
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 7th, 2008
Last updated Jul 21st, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1396911640 NPPES
Connecticut MEDICAID 008003745
Connecticut MEDICAID 004041000
Connecticut MEDICAID 008043119
Connecticut MEDICAID 004217099
Connecticut MEDICAID 008039745

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