Babichenko, Gennady S
Babichenko, Gennady S is an individual health care provider with primary practice located at 10480 W Garverdale Ct Ste 804B , Boise ID 83704-5477. He recently has only one registered license in Dental Providers / Denturist, which is considered as his primary health care specialty. Babichenko, Gennady S can be contacted via phone (208) 376-6613.Contact Information
Primary practice address
10480 W Garverdale Ct Ste 804B
Boise ID 83704-5477
Phone: (208) 376-6613
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Denturist | 122400000X | LD44 | Idaho |
Profile Details
| NPI number | 1629115761 |
|---|---|
| LBN Legal business name | Babichenko, Gennady S |
| Credentials | LD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 30th, 2007 |
| Last updated | Jul 8th, 2007 - about 17 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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