Neiberg De Alcantara Lima, MD
Student in an Organized Health Care Education/Training Program in Willimantic, Connecticut
1972098564- Practice location
- 112 Mansfield Ave, Willimantic, CT 06226-2045
- Phone
- 860-456-9116
- Fax
- —
- Last updated
- June 11, 2024
Neiberg De Alcantara Lima is a Student in an Organized Health Care Education/Training Program based in Willimantic, CT. Neiberg De Alcantara Lima practices in Willimantic, CT and has the professional credentials of MD. The NPI Number for Neiberg De Alcantara Lima is 1972098564 and holds a License No. 76031 (CT). The current practice location address for Neiberg De Alcantara Lima is 112 Mansfield Ave, Willimantic, CT 06226-2045 and can be reached out via phone at 860-456-9116.
Provider Profile Details
- NPI Number
- 1972098564
- Provider Name
- Neiberg De Alcantara Lima
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 112 Mansfield Ave, Willimantic, CT 06226-2045
- Phone Number
- 860-456-9116
- Primary Taxonomy
- Student in an Organized Health Care Education/Training Program · 390200000X
- Sole Proprietor
- No
- Provider Enumeration Date
- June 26, 2018
- Last Update Date
- June 11, 2024
- Certification Date
- June 11, 2024
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 112 Mansfield Ave
Willimantic, CT 06226-2045 - City
- Willimantic
- State
- Connecticut
- Zip
- 06226-2045
- Phone Number
- 860-456-9116
Provider Business Mailing Address Details
- Address
- 1000 Oakland Dr
Kalamazoo, MI 49008-1282 - City
- Kalamazoo
- State
- MI
- Zip
- 49008-1282
License Information
- License Number (1)
- 76031
- License State (1)
- CT
- Taxonomy (1)
- Internal Medicine, Cardiovascular Disease · 207RC0000X
- License Number (2)
- 4351030606
- License State (2)
- MI
- Taxonomy (2)
- Student in an Organized Health Care Education/Training Program · 390200000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Neiberg De Alcantara Lima, MD?
The NPI number of Neiberg De Alcantara Lima, MD is 1972098564. It was assigned on June 26, 2018 and is currently active in the NPPES registry.
What is the specialty of Neiberg De Alcantara Lima, MD?
Neiberg De Alcantara Lima, MD is registered under the primary taxonomy Student in an Organized Health Care Education/Training Program (code 390200000X), licensed in CT under license number 76031.
Where does Neiberg De Alcantara Lima, MD practice?
The practice location is 112 Mansfield Ave, Willimantic, CT 06226-2045. The office can be reached at 860-456-9116 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1972098564 directly on the NPPES registry website.