Mustafa, Ibrahim

Mustafa, Ibrahim is an individual health care provider with primary practice located at 1304 Franklin Ave , Normal IL 61761-3558. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neurology, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Neurology is his primary health care specialty. Mustafa, Ibrahim can be contacted via phone (309) 454-1400.

Contact Information

Primary practice address
1304 Franklin Ave Normal IL 61761-3558
Phone: (309) 454-1400
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 036156614 Illinois
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X

Profile Details

NPI number 1134650658
LBN Legal business name Mustafa, Ibrahim
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 26th, 2017
Last updated Oct 27th, 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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