Sirchuk, Edward Frazier

Sirchuk, Edward Frazier is an sole proprietor health care provider with primary practice located at 15957 Highway 101 S Ste 11 , Harbor OR 97415-8507. He recently has 2 registered licenses in different health care specialties including Agencies / Program of All-Inclusive Care for the Elderly (PACE) Provider Organization, Other Service Providers / Peer Specialist. Other Service Providers / Peer Specialist is his primary health care specialty. Sirchuk, Edward Frazier can be contacted via phone (541) 813-9142.

Contact Information

Primary practice address
15957 Highway 101 S Ste 11 Harbor OR 97415-8507
Phone: (541) 813-9142
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Agencies / Program of All-Inclusive Care for the Elderly (PACE) Provider Organization 251T00000X
Other Service Providers / Peer Specialist 175T00000X

Profile Details

NPI number 1851107635
LBN Legal business name Sirchuk, Edward Frazier
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 6th, 2024
Last updated Dec 7th, 2024 - about 2 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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