Gorivodskiy, Yevgeniy

Gorivodskiy, Yevgeniy is an individual health care provider with primary practice located at 13850 E 12 Mile Rd , Warren MI 48088-3730. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Gorivodskiy, Yevgeniy can be contacted via phone (586) 552-4499.

Contact Information

Primary practice address
13850 E 12 Mile Rd Warren MI 48088-3730
Phone: (586) 552-4499
Fax: (586) 552-4878
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 5601004664 Michigan

Profile Details

NPI number 1326125329
LBN Legal business name Gorivodskiy, Yevgeniy
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 1st, 2006
Last updated Mar 26th, 2024 - about last year

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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