Dyatlov, Artem
Dyatlov, Artem is an individual health care provider with primary practice located at 2660 Main St Ste 110 , Bridgeport CT 06606-5301. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Dyatlov, Artem can be contacted via phone (203) 332-4744.Contact Information
Primary practice address
2660 Main St Ste 110
Bridgeport CT 06606-5301
Phone: (203) 332-4744
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | MD462842 | Pennsylvania |
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 64955 | Connecticut |
Profile Details
| NPI number | 1316378615 |
|---|---|
| LBN Legal business name | Dyatlov, Artem |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 11th, 2013 |
| Last updated | Oct 18th, 2021 - 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.
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