Mpuku, Felix B

Mpuku, Felix B is an individual health care provider with primary practice located at 3180 Main St Suite 305, Bridgeport CT 06606. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Mpuku, Felix B can be contacted via phone (203) 372-6322.

Contact Information

Primary practice address
3180 Main St Suite 305 Bridgeport CT 06606
Phone: (203) 372-6322
Fax: (203) 371-8930
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 027879 Connecticut

Profile Details

NPI number 1124187240
LBN Legal business name Mpuku, Felix B
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 6th, 2006
Last updated Jul 8th, 2007 - about 18 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 1124187240 NPPES
Other 010027879CT05 ANTHEM BCBS
Other 25494 ANTHEM BCBS
Other 781070 ANTHEM BCBS
Other 001569 ANTHEM BCBS
MEDICAID 1278795 ANTHEM BCBS

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