Gordin, Vitaly
Gordin, Vitaly is an individual health care provider with primary practice located at 500 University Dr , Hershey PA 17033-2360. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pain Medicine, which is considered as his primary health care specialty. Gordin, Vitaly can be contacted via phone (717) 531-6834.Contact Information
Primary practice address
500 University Dr
Hershey PA 17033-2360
Phone: (717) 531-6834
Fax: (717) 531-4143
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pain Medicine | 207LP2900X | MD057252L | Pennsylvania |
Profile Details
| NPI number | 1164476594 |
|---|---|
| LBN Legal business name | Gordin, Vitaly |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 20th, 2006 |
| Last updated | Apr 27th, 2018 - about 6 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 | 1164476594 | NPPES |
| Pennsylvania | MEDICAID | 0017391060001 |
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