Bederov, Igor M

Bederov, Igor M is an sole proprietor health care provider with primary practice located at 262 Bonita Ln , Foster City CA 94404-1982. He recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is his primary health care specialty. Bederov, Igor M can be contacted via phone (650) 571-9090.

Contact Information

Primary practice address
262 Bonita Ln Foster City CA 94404-1982
Phone: (650) 571-9090
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X RN586047 California
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X NP21555 California

Profile Details

NPI number 1659301000
LBN Legal business name Bederov, Igor M
Credentials NURSE PRACTITIONER
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 3rd, 2006
Last updated Sep 5th, 2013 - about 13 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.

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