Jacob Itskovich, DMD
Student in an Organized Health Care Education/Training Program in Farmington, CT. Individual provider (NPI-1).
NPI number1194350140
StatusActive
Last updated in NPPESAug 4, 2020
Details
- NPI
- 1194350140
- Entity type
- Individual (NPI-1)
- Name
- Jacob Itskovich
- Credential
- DMD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Mar 10, 2020
- Certification date
- Aug 4, 2020
- Last updated
- Aug 4, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | 12877 | CT | Yes |
Practice location
263 Farmington AveFarmington, CT 06030-0001
Phone 860-679-2000
Mailing address
6855 Leytonstone BlvdWest Bloomfield, MI 48322-1243
Phone 248-303-5919
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Student in an Organized Health Care Education/Training Program providers in Farmington, CT
- Joseph Aabye, DONPI 1861289001
- Nour Abdallah, MDNPI 1225882509
- Omar Fathy Abdelatey, DDSNPI 1700672789
- Samira AbdelrehimNPI 1225823743
- Reham AbdelsalamNPI 1578143707
- Ezzat Abdoun, DDSNPI 1962630905
- Arif Salman Abdul Shakore, B.D.S., M.D.S.NPI 1750797387
- Lena Mohamed Abou ElattaNPI 1396634499
- Nour Aboumatar, MDNPI 1386498863
- Ibrahim Abu Al-RoubNPI 1801682042
All 838 Student in an Organized Health Care Education/Training Program providers in Farmington · All 3,315 providers in Farmington
Checking a whole list?
Paste up to 5,000 NPIs and download status, name, taxonomy, license and address for each one. Useful for credentialing, billing and pharmacy claim checks.