Itenberg, Ilana

Itenberg, Ilana is an sole proprietor health care provider with primary practice located at 17 Prospect St , Nashua NH 03060-3956. She recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot Surgery, which is considered as her primary health care specialty. Itenberg, Ilana can be contacted via phone (603) 577-3230.

Contact Information

Primary practice address
17 Prospect St Nashua NH 03060-3956
Phone: (603) 577-3230
Fax: (603) 577-3234
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot Surgery 213ES0131X N005742 New York
Podiatric Medicine & Surgery Service Providers / Foot Surgery 213ES0131X 000800 Connecticut
Podiatric Medicine & Surgery Service Providers / Foot Surgery 213ES0131X 25MD00283300 New Jersey
Podiatric Medicine & Surgery Service Providers / Foot Surgery 213ES0131X 0317 New Hampshire

Profile Details

NPI number 1356336614
LBN Legal business name Itenberg, Ilana
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 13th, 2005
Last updated Dec 17th, 2015 - about 9 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 1356336614 NPPES
New York Other 6298914 GHI
New York Other 9533745 GHI
New York Other PJ4082 GHI
New York Other 2701877 GHI
New York MEDICAID 02459745 GHI
New York Other P3060948 GHI
New York Other 161658P GHI
New York Other 06 GHI

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