Bodnarchuk, Gary

Bodnarchuk, Gary is an individual health care provider with primary practice located at 1532 Lone Oak Rd Suite 310, Paducah KY 42003-7913. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Bodnarchuk, Gary can be contacted via phone (270) 443-0777.

Contact Information

Primary practice address
1532 Lone Oak Rd Suite 310 Paducah KY 42003-7913
Phone: (270) 443-0777
Fax: (270) 443-0999
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 28275 Kentucky
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 036.075177 Illinois

Profile Details

NPI number 1033196084
LBN Legal business name Bodnarchuk, Gary
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 29th, 2005
Last updated Jun 8th, 2015 - about 11 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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Identifiers

StateTypeNumberIssuer
All States NPI 1033196084 NPPES
Illinois MEDICAID 036075177
Illinois MEDICAID 64282759
Illinois Other P00947881

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