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
Fax: (215) 641-9987
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1336225630 NPPES
Pennsylvania Other P00050626 RAILROAD MEDICARE
Pennsylvania Other 0046255000 RAILROAD MEDICARE
Pennsylvania Other 11559069 RAILROAD MEDICARE

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