1861816175 NPI number — EKB CONSULTING LLC

Table of content: (NPI 1861816175)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1861816175 NPI number — EKB CONSULTING LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
EKB CONSULTING LLC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1861816175
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
03/14/2014
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 2009
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
SHELTON
Provider Business Mailing Address State Name:
CT
Provider Business Mailing Address Postal Code:
06484-1009
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
203-901-2890
Provider Business Mailing Address Fax Number:
855-885-4079

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
328 COMMONWEALTH AVE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
NEW BRITAIN
Provider Business Practice Location Address State Name:
CT
Provider Business Practice Location Address Postal Code:
06053-2408
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
203-901-2890
Provider Business Practice Location Address Fax Number:
855-885-4079
Provider Enumeration Date:
02/06/2014

Additional Information

Authorized Official

Authorized Official Last Name:
KENTA-BIBI
Authorized Official First Name:
EMMANUEL
Authorized Official Middle Name:
Authorized Official Title or Position:
SOLE PROPRIETOR
Authorized Official Telephone Number:
203-901-2890

Provider Taxonomy Codes

  • Taxonomy code: 207Q00000X , with the licence number:  047740 , registered in the state of CT ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 1710136795 . This is a "NPI" identifier , issued by the state of ( CT ) . This identifiers is of the category "OTHER".




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