Vitvitskiy, Boris
Vitvitskiy, Boris is an individual health care provider with primary practice located at 2525 W University Ave , Muncie IN 47303-3421. He recently has only one registered license in Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, which is considered as his primary health care specialty. Vitvitskiy, Boris can be contacted via phone (765) 751-5886.Contact Information
Primary practice address
2525 W University Ave
Muncie IN 47303-3421
Phone: (765) 751-5886
Fax: (765) 751-5889
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation | 208100000X | 02005332A | Indiana |
Profile Details
| NPI number | 1831517978 |
|---|---|
| LBN Legal business name | Vitvitskiy, Boris |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 5th, 2014 |
| Last updated | Feb 1st, 2019 - about 7 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1831517978 | NPPES |
| Indiana | MEDICAID | 300013510 | |
| Indiana | Other | 000001173448 |
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