Organization Name: | HABAKUK INC |
NPI Number: | 1003156894 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | OLAYINKA OLASIMBO (PRESIDENT) |
Mailing Address: | 1315 Breton Dr Eldersburg |
State: | MD US |
Postal Code: | 217846137 |
Phone Number: | 4435186574 |
Fax Number: | 4105528289 |
NPI Enumeration Date: | 02/15/2013 |
NPI Last Update Date: | 02/15/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |