Chernyak, Gennady P

Chernyak, Gennady P is an individual health care provider with primary practice located at 1808 West Royale Drive Dermatology Clinic Of Muncie, Inc., Muncie IN 47304-2243. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Chernyak, Gennady P can be contacted via phone (765) 288-8188.

Contact Information

Primary practice address
1808 West Royale Drive Dermatology Clinic Of Muncie, Inc. Muncie IN 47304-2243
Phone: (765) 288-8188
Fax: (765) 282-7242
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 10000699A Indiana

Profile Details

NPI number 1487698072
LBN Legal business name Chernyak, Gennady P
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 15th, 2006
Last updated Mar 25th, 2016 - about 10 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 1487698072 NPPES
Indiana Other 10000699A PHYSICIAN ASSISTANT CERT

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