Iloeje, Vivien A
Iloeje, Vivien A is an individual health care provider with primary practice located at 94 Connecticut Blvd , East Hartford CT 06108-3013. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Iloeje, Vivien A can be contacted via phone (860) 528-1359.Contact Information
Primary practice address
94 Connecticut Blvd
East Hartford CT 06108-3013
Phone: (860) 528-1359
Fax: (860) 290-4142
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 040458 | Connecticut |
Profile Details
| NPI number | 1003878778 |
|---|---|
| LBN Legal business name | Iloeje, Vivien A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 6th, 2006 |
| Last updated | Oct 17th, 2011 - about 13 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1003878778 | NPPES |
| Connecticut | Other | 458040 | CTC |
| Connecticut | MEDICAID | 004236164 | CTC |
| Connecticut | Other | 010040458CT | CTC |
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