Mogbo, Solomon C

Mogbo, Solomon C is an individual health care provider with primary practice located at 1401 Kanis Park Dr Ste 200, Little Rock AR 72205-4571. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Mogbo, Solomon C can be contacted via phone (501) 537-4590.

Contact Information

Primary practice address
1401 Kanis Park Dr Ste 200 Little Rock AR 72205-4571
Phone: (501) 537-4590
Fax: (501) 537-4591
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X E1875 Arkansas

Profile Details

NPI number 1083615348
LBN Legal business name Mogbo, Solomon C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 9th, 2005
Last updated Sep 11th, 2020 - about 6 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 1083615348 NPPES
Arkansas MEDICAID 145707001
Arkansas Other 912187095

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