Fomchenko, Elena I
Fomchenko, Elena I is an individual health care provider with primary practice located at 2315 Myrtle St Ste L90 , Erie PA 16502-4607. She recently has only one registered license in Allopathic & Osteopathic Physicians / Neurological Surgery, which is considered as her primary health care specialty. Fomchenko, Elena I can be contacted via phone (814) 452-7575.Contact Information
Primary practice address
2315 Myrtle St Ste L90
Erie PA 16502-4607
Phone: (814) 452-7575
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neurological Surgery | 207T00000X | MD481326 | Pennsylvania |
Profile Details
| NPI number | 1336584259 |
|---|---|
| LBN Legal business name | Fomchenko, Elena I |
| Credentials | MD, PHD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 6th, 2013 |
| Last updated | Aug 1st, 2023 - about 2 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 | 1336584259 | NPPES |
| Other | 15956049 | CAQH |
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