Alba, Jorge

Alba, Jorge is an individual health care provider with primary practice located at 71 Haynes St , Manchester CT 06040-4131. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine, which is considered as his primary health care specialty. Alba, Jorge can be contacted via phone (860) 646-1222.

Contact Information

Primary practice address
71 Haynes St Manchester CT 06040-4131
Phone: (860) 646-1222
Fax: (860) 647-6439
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine 2080N0001X 043658 Connecticut

Profile Details

NPI number 1255314761
LBN Legal business name Alba, Jorge
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 29th, 2005
Last updated Jan 29th, 2008 - 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 1255314761 NPPES
Connecticut MEDICAID 001436685

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