Diachenko, Reuben
Diachenko, Reuben is an individual health care provider with primary practice located at Corner Of Routes N12 & N7 , Fort Defiance AZ 86504. He recently has only one registered license in Nursing Service Providers / Emergency, which is considered as his primary health care specialty. Diachenko, Reuben can be contacted via phone (928) 729-8600.Contact Information
Primary practice address
Corner Of Routes N12 & N7
Fort Defiance AZ 86504
Phone: (928) 729-8600
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Emergency | 163WE0003X | 211930 | South Carolina |
Profile Details
| NPI number | 1871202523 |
|---|---|
| LBN Legal business name | Diachenko, Reuben |
| Credentials | Registered Nurse (RN) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 22nd, 2022 |
| Last updated | Nov 23rd, 2022 - about 3 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 | 1871202523 | NPPES |
| South Carolina | Other | 211930 | SOUTH CAROLINA STATE BOARD OF NURSING (COMPACT LICENSE) |
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