Doberczak, Bohdan Wsewolod
Doberczak, Bohdan Wsewolod is an sole proprietor health care provider with primary practice located at 7900 Old York Rd Apartment 105A, Elkins Park PA 19027-2318. He recently has only one registered license in Allopathic & Osteopathic Physicians / Geriatric Psychiatry, which is considered as his primary health care specialty. Doberczak, Bohdan Wsewolod can be contacted via phone (215) 224-3330.Contact Information
Primary practice address
7900 Old York Rd Apartment 105A
Elkins Park PA 19027-2318
Phone: (215) 224-3330
Fax: (215) 641-9987
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Geriatric Psychiatry | 2084P0805X | MD020681E | Pennsylvania |
Profile Details
NPI number | 1336225630 |
---|---|
LBN Legal business name | Doberczak, Bohdan Wsewolod |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Oct 29th, 2006 |
Last updated | Jul 9th, 2007 - about 17 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 | 1336225630 | NPPES |
Pennsylvania | Other | P00050626 | RAILROAD MEDICARE |
Pennsylvania | Other | 0046255000 | RAILROAD MEDICARE |
Pennsylvania | Other | 11559069 | RAILROAD MEDICARE |
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