Kuvshinikov, Brian Alex

Kuvshinikov, Brian Alex is an individual health care provider with primary practice located at 15 Southmoor Cir Ne , Dayton OH 45429-2451. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Kuvshinikov, Brian Alex can be contacted via phone (937) 293-6896.

Contact Information

Primary practice address
15 Southmoor Cir Ne Dayton OH 45429-2451
Phone: (937) 293-6896
Fax: (937) 293-9150
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 36-003316 Ohio

Profile Details

NPI number 1962407908
LBN Legal business name Kuvshinikov, Brian Alex
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 16th, 2005
Last updated Jun 30th, 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 1962407908 NPPES
Ohio MEDICAID 2385066

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