Ngido, Fabian Philemon

Ngido, Fabian Philemon is an individual health care provider with primary practice located at 1 Medical Center Blvd Suite 103, Cookeville TN 38501-4294. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Ngido, Fabian Philemon can be contacted via phone (931) 783-2770.

Contact Information

Primary practice address
1 Medical Center Blvd Suite 103 Cookeville TN 38501-4294
Phone: (931) 783-2770
Fax: (931) 525-1176
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 51472 Tennessee

Profile Details

NPI number 1528354768
LBN Legal business name Ngido, Fabian Philemon
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 27th, 2011
Last updated May 27th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1528354768 NPPES
Kentucky MEDICAID 7100423680
Kentucky MEDICAID Q006501
Kentucky Other 6017806

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