Kubeyinje, Nike Itohan
Kubeyinje, Nike Itohan is an individual health care provider with primary practice located at 785 Farmington Avenue , West Hartford CT 06119-1673. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatrics is her primary health care specialty. Kubeyinje, Nike Itohan can be contacted via phone (860) 523-4100.Contact Information
Primary practice address
785 Farmington Avenue
West Hartford CT 06119-1673
Phone: (860) 523-4100
Fax: (860) 523-1462
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | MD036800 | District of Columbia |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 272823 | New York |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | ME108550 | Florida |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 55255 | Connecticut |
Profile Details
| NPI number | 1295922276 |
|---|---|
| LBN Legal business name | Kubeyinje, Nike Itohan |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 3rd, 2007 |
| Last updated | Jan 28th, 2022 - about 2 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 | 1295922276 | NPPES |
| Florida | MEDICAID | 003200300 |
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