Aigbogun, Christine

Aigbogun, Christine is an individual health care provider with primary practice located at 21 Grand St , Hartford CT 06106-1541. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Aigbogun, Christine can be contacted via phone (860) 550-7500.

Contact Information

Primary practice address
21 Grand St Hartford CT 06106-1541
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 5420 Connecticut

Profile Details

NPI number 1851058291
LBN Legal business name Aigbogun, Christine
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 19th, 2021
Last updated Nov 19th, 2021 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1851058291 NPPES
Connecticut MEDICAID 101682731

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