Gryshchenko, Anatoliy Olexandrovych
Gryshchenko, Anatoliy Olexandrovych is an individual health care provider with primary practice located at 4000 Coast Guard Blvd , Portsmouth VA 23703-2135. He recently has only one registered license in Other Service Providers / Independent Duty Corpsman, which is considered as his primary health care specialty. Gryshchenko, Anatoliy Olexandrovych can be contacted via phone (757) 483-8710.Contact Information
Primary practice address
4000 Coast Guard Blvd
Portsmouth VA 23703-2135
Phone: (757) 483-8710
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Independent Duty Corpsman | 1710I1002X |
Profile Details
| NPI number | 1881358851 |
|---|---|
| LBN Legal business name | Gryshchenko, Anatoliy Olexandrovych |
| Credentials | IDHS |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 26th, 2021 |
| Last updated | Oct 26th, 2021 - about 4 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 | 1881358851 | NPPES |
| District of Columbia | Other | 1369535915 | DODID |
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