Bronov, Oleg E.

Bronov, Oleg E. is an individual health care provider with primary practice located at 100 N Academy Ave , Danville PA 17822-7802. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Bronov, Oleg E. can be contacted via phone (570) 271-6301.

Contact Information

Primary practice address
100 N Academy Ave Danville PA 17822-7802
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X MD420586 Pennsylvania

Profile Details

NPI number 1255333027
LBN Legal business name Bronov, Oleg E.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 11th, 2005
Last updated Jun 11th, 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 1255333027 NPPES
Pennsylvania MEDICAID 001957221

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