Astafiev, Alexander
Astafiev, Alexander is an sole proprietor health care provider with primary practice located at 500 E Olive Ave Ste 103 , Burbank CA 91501-2171. He recently has only one registered license in Eye and Vision Services Providers / Technician/Technologist, which is considered as his primary health care specialty. Astafiev, Alexander can be contacted via phone (818) 861-7902.Contact Information
Primary practice address
500 E Olive Ave Ste 103
Burbank CA 91501-2171
Phone: (818) 861-7902
Fax: (818) 861-7385
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Technician/Technologist | 156F00000X | California |
Profile Details
| NPI number | 1770187502 |
|---|---|
| LBN Legal business name | Astafiev, Alexander |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 23rd, 2020 |
| Last updated | Nov 23rd, 2020 - about 6 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1770187502 | NPPES |
| Nevada | Other | 1603015574 | DRIVERS LICENSE |
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