Individual provider · Type 1 NPI

Imebong Idim

Student in an Organized Health Care Education/Training Program · Terre Haute, IN

NPI number 1972434181 Active

Practice location

1530 N 7th St Ste 200
Terre Haute, IN 47807-1061

Call (812) 238-7631 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000X11024659A (IN)

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1972434181

Imebong Idim's National Provider Identifier is 1972434181, issued on May 27, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Terre Haute, IN. The record was last updated on May 27, 2026.