Individual
DR. ABEBECH JOBIR WAKTOLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
6 GLEN COVE DR, ROCKPORT, ME 04856-4272
(270) 301-8000
Mailing address
PO BOX 19639, SPRINGFIELD, IL 62794-9639
(217) 545-8000
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
036.177470
IL
207RN0300X
Nephrology Physician
56534
KY
207RN0300X
Nephrology Physician
67252
TN
207RN0300X
Nephrology Physician
Primary
MD28355
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
15578235
CAQH
KY
05
—
7100806800
—
KY
Enumeration date
06/23/2017
Last updated
12/03/2025
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