Nikhinson, Ilia

Nikhinson, Ilia is an individual health care provider with primary practice located at 801 W Girard Ave , Philadelphia PA 19122-4212. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Nikhinson, Ilia can be contacted via phone (215) 787-2000.

Contact Information

Primary practice address
801 W Girard Ave Philadelphia PA 19122-4212
Phone: (215) 787-2000
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X MD417513 Pennsylvania

Profile Details

NPI number 1275534018
LBN Legal business name Nikhinson, Ilia
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 2nd, 2005
Last updated Mar 20th, 2014 - about 10 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 1275534018 NPPES
Pennsylvania Other 117012 CBH
Pennsylvania MEDICAID 001911634 CBH

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