Plavsky, Victor R

Plavsky, Victor R is an sole proprietor health care provider with primary practice located at 24610 36Th Ave S , Kent WA 98032-1520. He recently has only one registered license in Dental Providers / Denturist, which is considered as his primary health care specialty. Plavsky, Victor R can be contacted via phone (253) 941-5400.

Contact Information

Primary practice address
24610 36Th Ave S Kent WA 98032-1520
Fax: (866) 297-7419
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Denturist 122400000X DN00000296 Washington

Profile Details

NPI number 1619000247
LBN Legal business name Plavsky, Victor R
Credentials LD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 13th, 2007
Last updated Jul 9th, 2007 - about 19 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 1619000247 NPPES
Washington MEDICAID 5038849

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