Pushkin, Yaacov

Pushkin, Yaacov is an individual health care provider with primary practice located at 5213 Hickory Park Dr Ste A , Glen Allen VA 23059-2617. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Pushkin, Yaacov can be contacted via phone (804) 237-8030.

Contact Information

Primary practice address
5213 Hickory Park Dr Ste A Glen Allen VA 23059-2617
Phone: (804) 237-8030
Fax: (804) 237-8028
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 0101047546 Virginia

Profile Details

NPI number 1790866812
LBN Legal business name Pushkin, Yaacov
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 17th, 2006
Last updated May 11th, 2012 - about 14 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 1790866812 NPPES
Virginia MEDICAID 010101000 541581185

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