Bodnarchuk, Brian R.

Bodnarchuk, Brian R. is an individual health care provider with primary practice located at 4630 Village Square Dr , Paducah KY 42001-7502. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Ophthalmology. Allopathic & Osteopathic Physicians / Ophthalmology is his primary health care specialty. Bodnarchuk, Brian R. can be contacted via phone (270) 442-1671.

Contact Information

Primary practice address
4630 Village Square Dr Paducah KY 42001-7502
Phone: (270) 442-1671
Fax: (270) 442-7307
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 50184 Kentucky

Profile Details

NPI number 1760825624
LBN Legal business name Bodnarchuk, Brian R.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 10th, 2013
Last updated Nov 14th, 2018 - about 7 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 1760825624 NPPES
Kentucky MEDICAID 7100053130

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