Provider Demographics
NPI:1417642885
Name:NJOBET, EINSTEIN KETCHA
Entity type:Individual
Prefix:
First Name:EINSTEIN
Middle Name:KETCHA
Last Name:NJOBET
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:EINSTEIN
Other - Middle Name:KETCHA
Other - Last Name:NJOBET
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:6200 WESTCHESTER PARK DR APT 1114
Mailing Address - Street 2:
Mailing Address - City:COLLEGE PARK
Mailing Address - State:MD
Mailing Address - Zip Code:20740-2840
Mailing Address - Country:US
Mailing Address - Phone:469-970-3426
Mailing Address - Fax:
Practice Address - Street 1:3730 MINNESOTTA AVE NE
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20019
Practice Address - Country:US
Practice Address - Phone:202-301-5204
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-04-10
Last Update Date:2023-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator
No251S00000XAgenciesCommunity/Behavioral Health