Berezhnoy, Vitaliy
Berezhnoy, Vitaliy is an individual health care provider with primary practice located at 834 Sheridan St , Port Townsend WA 98368-2443. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Berezhnoy, Vitaliy can be contacted via phone (360) 385-2200.Contact Information
Primary practice address
834 Sheridan St
Port Townsend WA 98368-2443
Phone: (360) 385-2200
Fax: (360) 344-0411
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | PA60115672 | Washington |
Profile Details
| NPI number | 1235465345 |
|---|---|
| LBN Legal business name | Berezhnoy, Vitaliy |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 23rd, 2009 |
| Last updated | Oct 23rd, 2009 - 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.
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