Gavrilyuk, Vladimir
Gavrilyuk, Vladimir is an sole proprietor health care provider with primary practice located at 201 S Division St Suite B, Auburn WA 98001-5332. He recently has only one registered license in Dental Providers / Denturist, which is considered as his primary health care specialty. Gavrilyuk, Vladimir can be contacted via phone (253) 931-0225.Contact Information
Primary practice address
201 S Division St Suite B
Auburn WA 98001-5332
Phone: (253) 931-0225
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Dental Providers / Denturist | 122400000X | DN00000308 | Washington |
Profile Details
NPI number | 1043414493 |
---|---|
LBN Legal business name | Gavrilyuk, Vladimir |
Credentials | DENTURIST |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jun 11th, 2007 |
Last updated | Jul 9th, 2007 - about 18 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 | 1043414493 | NPPES |
Washington | MEDICAID | 5041595 |
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