Muhammad, Abdul-Rahmaan Ibn

Muhammad, Abdul-Rahmaan Ibn is an sole proprietor health care provider with primary practice located at 111 Gillett St , Hartford CT 06105-2630. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / School, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Muhammad, Abdul-Rahmaan Ibn can be contacted via phone (860) 656-0450.

Contact Information

Primary practice address
111 Gillett St Hartford CT 06105-2630
Phone: (860) 656-0450
Fax: (860) 656-0491
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X 3024 Connecticut
Behavioral Health & Social Service Providers / School 1041S0200X 3024 Connecticut
Behavioral Health & Social Service Providers / Clinical 1041C0700X 3024 Connecticut

Profile Details

NPI number 1427609015
LBN Legal business name Muhammad, Abdul-Rahmaan Ibn
Credentials LMSW
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 25th, 2019
Last updated Sep 25th, 2019 - about 7 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 1427609015 NPPES
Connecticut MEDICAID 1619204674

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