Pipenko, Vitaliy V.

Pipenko, Vitaliy V. is an individual health care provider with primary practice located at 1809 Wade Hampton Blvd Ste 120 , Greenville SC 29609-4050. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Gerontology, which is considered as his primary health care specialty. Pipenko, Vitaliy V. can be contacted via phone (864) 522-5000.

Contact Information

Primary practice address
1809 Wade Hampton Blvd Ste 120 Greenville SC 29609-4050
Phone: (864) 522-5000
Fax: (864) 241-9275
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X 19427 South Carolina

Profile Details

NPI number 1285012716
LBN Legal business name Pipenko, Vitaliy V.
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date May 17th, 2015
Last updated Jun 10th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1285012716 NPPES
South Carolina MEDICAID NP3351

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