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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 4 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 1821144577 NPPES
Michigan MEDICAID 4341231

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