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:
Health care specialties
| Specialty | Code | License # | 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 12 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 | 1275534018 | NPPES |
| Pennsylvania | Other | 117012 | CBH |
| Pennsylvania | MEDICAID | 001911634 | CBH |
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