Bondarchuk, Georgiy O
Bondarchuk, Georgiy O is an individual health care provider with primary practice located at 1465 Hewitt Dr , Virginia Beach VA 23459-8523. He recently has only one registered license in Other Service Providers / Independent Duty Corpsman, which is considered as his primary health care specialty. Bondarchuk, Georgiy O can be contacted via phone (757) 462-3991.Contact Information
Primary practice address
1465 Hewitt Dr
Virginia Beach VA 23459-8523
Phone: (757) 462-3991
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Independent Duty Corpsman | 1710I1002X |
Profile Details
| NPI number | 1376176594 |
|---|---|
| LBN Legal business name | Bondarchuk, Georgiy O |
| Credentials | DIVE IDC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 17th, 2020 |
| Last updated | Feb 17th, 2020 - about 5 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 | 1376176594 | NPPES |
| Other | 1801350442 | NPPES |
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