Waselovich, Robert John

Waselovich, Robert John is an individual health care provider with primary practice located at 320 Hospital Dr , Martinsville VA 24112-1900. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Waselovich, Robert John can be contacted via phone (218) 213-2768.

Contact Information

Primary practice address
320 Hospital Dr Martinsville VA 24112-1900
Phone: (218) 213-2768
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 0110004578 Virginia

Profile Details

NPI number 1316121981
LBN Legal business name Waselovich, Robert John
Credentials PAC
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 19th, 2007
Last updated Sep 4th, 2014 - about 12 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 1316121981 NPPES
Virginia MEDICAID 1316121981

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