Bondarchuk, Georgiy O

Bondarchuk, Georgiy O is an individual health care provider with primary practice located at 1465 Hewitt Dr , Virginia Beach VA 23459-8523. He recently has only one registered license in Other Service Providers / Independent Duty Corpsman, which is considered as his primary health care specialty. Bondarchuk, Georgiy O can be contacted via phone (757) 462-3991.

Contact Information

Primary practice address
1465 Hewitt Dr Virginia Beach VA 23459-8523
Phone: (757) 462-3991
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Independent Duty Corpsman 1710I1002X

Profile Details

NPI number 1376176594
LBN Legal business name Bondarchuk, Georgiy O
Credentials DIVE IDC
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 17th, 2020
Last updated Feb 17th, 2020 - about 4 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 1376176594 NPPES
Other 1801350442 NPPES

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