Evenchik, Bruce G.
Evenchik, Bruce G. is an individual health care provider with primary practice located at 820 Union St. , Hudson NY 12534. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Evenchik, Bruce G. can be contacted via phone (518) 828-3391.Contact Information
Primary practice address
820 Union St.
Hudson NY 12534
Phone: (518) 828-3391
Fax: (518) 828-6734
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 148821 | New York |
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 47753 | Massachusetts |
Profile Details
| NPI number | 1225091051 |
|---|---|
| LBN Legal business name | Evenchik, Bruce G. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 11th, 2006 |
| Last updated | Feb 25th, 2022 - about 4 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 | 1225091051 | NPPES |
| Massachusetts | Other | 1010050002 | GB MEDICARE NSC |
| Massachusetts | MEDICAID | 0154954 | GB MEDICARE NSC |
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