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NPI Code Detail

MEDICARE: SOLOMON DAYEBGA BAKOH RN

MEDICARE:   SOLOMON DAYEBGA BAKOH  RN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1568318236
Entity Type Code : Individual
Provider Name (Legal Business Name) : SOLOMON DAYEBGA BAKOH RN
Provider Business Mailing Address
First Line : 1913 ESIC DR
Second Line :
City : EDWARDSVILLE
State : IL
Zip : 62025-3947
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1913 ESIC DR
Second Line :
City : EDWARDSVILLE
State : IL
Zip : 62025-3947
Country : US
Telephone Number : 618-650-3957
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/05/2026
Last Update Date : 03/05/2026

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Directions to “ SOLOMON DAYEBGA BAKOH RN” Practice Location

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