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Contact Information

MOUSTAPHA A IBRAHIM
1720 5TH AVE NE APT D14
EAST GRAND FORKS, MN56721-1387
 Phone: 701-317-6914
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Home Health Aide

374U00000X
Indicates primary specialty

NPI Profile & details for MOUSTAPHA A IBRAHIM · (Male)

NPI Number 1780441485
Status Active
Credentials
Entity Individual
Enumeration date 02/29/2024
Last updated 02/29/2024 - About 2 years ago
Sole proprietor 1 Yes
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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