Tubie, Boniface Atakekor
Tubie, Boniface Atakekor is an sole proprietor health care provider with primary practice located at 20755 Greenfield Rd Suite # 203, Southfield MI 48075-5403. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Technologists, Technicians & Other Technical Service Providers / Nephrology, Allopathic & Osteopathic Physicians / Nephrology. Allopathic & Osteopathic Physicians / Nephrology is his primary health care specialty. Tubie, Boniface Atakekor can be contacted via phone (248) 395-2206.Contact Information
Primary practice address
20755 Greenfield Rd Suite # 203
Southfield MI 48075-5403
Phone: (248) 395-2206
Fax: (248) 395-0456
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 4301072901 | Michigan |
| Technologists, Technicians & Other Technical Service Providers / Nephrology | 246ZN0300X | 4301072901 | Michigan |
| Allopathic & Osteopathic Physicians / Nephrology | 207RN0300X | 4301072901 | Michigan |
Profile Details
| NPI number | 1821144577 |
|---|---|
| LBN Legal business name | Tubie, Boniface Atakekor |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 26th, 2007 |
| Last updated | Mar 9th, 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 | 1821144577 | NPPES |
| Michigan | MEDICAID | 4341231 |
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