Provider Demographics
NPI:1861816175
Name:EKB CONSULTING LLC
Entity Type:Organization
Organization Name:EKB CONSULTING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SOLE PROPRIETOR
Authorized Official - Prefix:DR
Authorized Official - First Name:EMMANUEL
Authorized Official - Middle Name:
Authorized Official - Last Name:KENTA-BIBI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:203-901-2890
Mailing Address - Street 1:PO BOX 2009
Mailing Address - Street 2:
Mailing Address - City:SHELTON
Mailing Address - State:CT
Mailing Address - Zip Code:06484-1009
Mailing Address - Country:US
Mailing Address - Phone:203-901-2890
Mailing Address - Fax:855-885-4079
Practice Address - Street 1:328 COMMONWEALTH AVE
Practice Address - Street 2:
Practice Address - City:NEW BRITAIN
Practice Address - State:CT
Practice Address - Zip Code:06053-2408
Practice Address - Country:US
Practice Address - Phone:203-901-2890
Practice Address - Fax:855-885-4079
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-02-06
Last Update Date:2014-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT047740207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT1710136795OtherNPI