Makarushka, Ihor B

Makarushka, Ihor B is an individual health care provider with primary practice located at 2 Essex Center Dr , Peabody MA 01960-2902. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Makarushka, Ihor B can be contacted via phone (978) 977-4000.

Contact Information

Primary practice address
2 Essex Center Dr Peabody MA 01960-2902
Phone: (978) 977-4000
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 41791 Massachusetts

Profile Details

NPI number 1730168378
LBN Legal business name Makarushka, Ihor B
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 12th, 2006
Last updated Jul 8th, 2007 - about 18 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 1730168378 NPPES
Massachusetts Other 0015158 NEIGHBORHOOD HEALTH
Massachusetts Other D28154 NEIGHBORHOOD HEALTH
Massachusetts Other 041791 NEIGHBORHOOD HEALTH
Massachusetts Other PP485 NEIGHBORHOOD HEALTH
Massachusetts MEDICAID 2070006 NEIGHBORHOOD HEALTH

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