Gutnichenko, Konstantin Sergeyevich

Gutnichenko, Konstantin Sergeyevich is an sole proprietor health care provider with primary practice located at 12011 Lee Jackson Hwy Ste 501 , Fairfax VA 22033-3315. He recently has only one registered license in Technologists, Technicians & Other Technical Service Providers / Surgical Assistant, which is considered as his primary health care specialty. Gutnichenko, Konstantin Sergeyevich can be contacted via phone (703) 259-7027.

Contact Information

Primary practice address
12011 Lee Jackson Hwy Ste 501 Fairfax VA 22033-3315
Phone: (703) 259-7027
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Surgical Assistant 246ZC0007X 0136000798 Virginia

Profile Details

NPI number 1538847348
LBN Legal business name Gutnichenko, Konstantin Sergeyevich
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 11th, 2023
Last updated Jul 11th, 2023 - 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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