Sulkowski, Viktor P

Sulkowski, Viktor P is an sole proprietor health care provider with primary practice located at 10461 Wallace Alley St , Kingsport TN 37663-3936. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Sulkowski, Viktor P can be contacted via phone (423) 279-1400.

Contact Information

Primary practice address
10461 Wallace Alley St Kingsport TN 37663-3936
Phone: (423) 279-1400
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X MD0000010318 Tennessee

Profile Details

NPI number 1780796003
LBN Legal business name Sulkowski, Viktor P
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 31st, 2006
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 1780796003 NPPES
Tennessee Other 4051152 BCBS TN PROVIDER NUMBER
Tennessee Other 4051167 BCBS TN PROVIDER NUMBER
Tennessee MEDICAID 3379190 BCBS TN PROVIDER NUMBER

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