Czerkasij, Victor

Czerkasij, Victor is an individual health care provider with primary practice located at 1107 Memorial Dr Suite 201, Dalton GA 30720-8662. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as his primary health care specialty. Czerkasij, Victor can be contacted via phone (706) 277-7311.

Contact Information

Primary practice address
1107 Memorial Dr Suite 201 Dalton GA 30720-8662
Phone: (706) 277-7311
Fax: (706) 272-3512
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X APN0000012398 Tennessee
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X RN187417 Georgia

Profile Details

NPI number 1295893204
LBN Legal business name Czerkasij, Victor
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 4th, 2006
Last updated Nov 27th, 2023 - about 3 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 1295893204 NPPES
Tennessee Other APN0000012398 ADVANVED PRACTICE NURSE
Tennessee Other RN187417 ADVANVED PRACTICE NURSE

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