Mbeumo, Carline Mekem

Mbeumo, Carline Mekem is an individual health care provider with primary practice located at 3412 Office Park Drive , Marion IL 62959. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Mbeumo, Carline Mekem can be contacted via phone (618) 993-0404.

Contact Information

Primary practice address
3412 Office Park Drive Marion IL 62959
Phone: (618) 993-0404
Fax: (618) 993-1717
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 4301103909 Michigan
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 036140445 Illinois

Profile Details

NPI number 1104268168
LBN Legal business name Mbeumo, Carline Mekem
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 18th, 2013
Last updated Nov 7th, 2016 - about 10 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 1104268168 NPPES
Illinois MEDICAID 036140445

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