Chernyy, Vitaliy
Chernyy, Vitaliy is an individual health care provider with primary practice located at 363 Highland Ave , Fall River MA 02720-3703. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hospitalist, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Hospitalist is his primary health care specialty. Chernyy, Vitaliy can be contacted via phone (508) 973-5919.Contact Information
Primary practice address
363 Highland Ave
Fall River MA 02720-3703
Phone: (508) 973-5919
Fax: (508) 973-5916
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | 223530 | Massachusetts |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 223530 | Massachusetts |
Profile Details
| NPI number | 1376533711 |
|---|---|
| LBN Legal business name | Chernyy, Vitaliy |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 26th, 2005 |
| Last updated | Apr 21st, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1376533711 | NPPES |
| Rhode Island | MEDICAID | 9023162 | |
| Rhode Island | MEDICAID | 110075684A |
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