Bandarenko, Nicholas
Bandarenko, Nicholas is an individual health care provider with primary practice located at 1000 Trent Drive , Durham NC 27710-0001. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as his primary health care specialty. Bandarenko, Nicholas can be contacted via phone (919) 684-8111.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology | 207ZP0102X | 95-01170 | North Carolina |
Profile Details
| NPI number | 1285729913 |
|---|---|
| LBN Legal business name | Bandarenko, Nicholas |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 4th, 2006 |
| Last updated | Feb 28th, 2008 - about 16 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 | 1285729913 | NPPES |
| North Carolina | MEDICAID | 8912952 |
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