Bancroft, Laura Wasylenko
Bancroft, Laura Wasylenko is an individual health care provider with primary practice located at 601 E. Rollins Street , Orlando FL 32803. She recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as her primary health care specialty. Bancroft, Laura Wasylenko can be contacted via phone (407) 303-8178.Contact Information
Primary practice address
601 E. Rollins Street
Orlando FL 32803
Phone: (407) 303-8178
Fax: (407) 303-9702
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | ME65440 | Florida |
Profile Details
| NPI number | 1104817287 |
|---|---|
| LBN Legal business name | Bancroft, Laura Wasylenko |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 29th, 2005 |
| Last updated | Aug 14th, 2019 - about 5 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 | 1104817287 | NPPES |
| Florida | MEDICAID | 268756900 | |
| Florida | Other | 28439 | |
| Florida | Other | 300055808 |
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