Walusimbi, Mbaga S
Walusimbi, Mbaga S is an individual health care provider with primary practice located at 30 East Apple Street Suite 5253, Dayton OH 45409. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Trauma Surgery, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Trauma Surgery is his primary health care specialty. Walusimbi, Mbaga S can be contacted via phone (937) 208-2552.Contact Information
Primary practice address
30 East Apple Street Suite 5253
Dayton OH 45409
Phone: (937) 208-2552
Fax: (937) 208-6154
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Trauma Surgery | 2086S0127X | 35.084491 | Ohio |
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 35084491 | Ohio |
Profile Details
| NPI number | 1295791275 |
|---|---|
| LBN Legal business name | Walusimbi, Mbaga S |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 26th, 2006 |
| Last updated | Jun 19th, 2018 - about 8 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1295791275 | NPPES |
| Ohio | MEDICAID | 2483594 |
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