Passov, Victoria

Passov, Victoria is an individual health care provider with primary practice located at 301 E Saint Joseph St , Green Bay WI 54301-2241. She recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as her primary health care specialty. Passov, Victoria can be contacted via phone (920) 433-6073.

Contact Information

Primary practice address
301 E Saint Joseph St Green Bay WI 54301-2241
Fax: (920) 431-0333
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 49830 Minnesota
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 59847-20 Wisconsin

Profile Details

NPI number 1891838173
LBN Legal business name Passov, Victoria
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 15th, 2007
Last updated Nov 23rd, 2020 - about 6 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 1891838173 NPPES
Minnesota MEDICAID 043445000

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