Memboup, Adija

Memboup, Adija is an individual health care provider with primary practice located at 24 Hospital Ave , Danbury CT 06810-6077. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Memboup, Adija can be contacted via phone (917) 873-5185.

Contact Information

Primary practice address
24 Hospital Ave Danbury CT 06810-6077
Phone: (917) 873-5185
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 5545 Connecticut
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 008489 New York

Profile Details

NPI number 1942365986
LBN Legal business name Memboup, Adija
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 27th, 2006
Last updated May 7th, 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.

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