Kenta-Bibi, Emmanuel

Kenta-Bibi, Emmanuel is an individual health care provider with primary practice located at 90 S Main St Family Practice Group, Middletown CT 06457-3649. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Kenta-Bibi, Emmanuel can be contacted via phone (860) 358-6300.

Contact Information

Primary practice address
90 S Main St Family Practice Group Middletown CT 06457-3649
Phone: (860) 358-6300
Fax: (860) 344-9249
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 047740 Connecticut
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 47740 Connecticut

Profile Details

NPI number 1710163795
LBN Legal business name Kenta-Bibi, Emmanuel
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 21st, 2008
Last updated Mar 17th, 2017 - 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 1710163795 NPPES
Connecticut Other 047740 CT LICENSE

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