Imevbore, Olutayo Temitope
Imevbore, Olutayo Temitope is an individual health care provider with primary practice located at 20 York St # Cb-2041 , New Haven CT 06504-8900. She recently has only one registered license in Allopathic & Osteopathic Physicians / Hospitalist, which is considered as her primary health care specialty. Imevbore, Olutayo Temitope can be contacted via phone (203) 688-4748.Contact Information
Primary practice address
20 York St # Cb-2041
New Haven CT 06504-8900
Phone: (203) 688-4748
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | 042354 | Connecticut |
Profile Details
| NPI number | 1750447421 |
|---|---|
| LBN Legal business name | Imevbore, Olutayo Temitope |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 28th, 2006 |
| Last updated | Mar 7th, 2023 - about last year |
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 | 1750447421 | NPPES |
| Connecticut | Other | 042354 | CT PHYSICIAN LICENSE |
| Connecticut | MEDICAID | 001423540 | CT PHYSICIAN LICENSE |
| Connecticut | Other | 35237 | CT PHYSICIAN LICENSE |
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