Halytskyy, Oleksandr
Halytskyy, Oleksandr is an individual health care provider with primary practice located at 1100 N Kentucky Ave , West Plains MO 65775-2029. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Halytskyy, Oleksandr can be contacted via phone (417) 257-5800.Contact Information
Primary practice address
1100 N Kentucky Ave
West Plains MO 65775-2029
Phone: (417) 257-5800
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | MD15523 | Rhode Island |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 125.063541 | Illinois |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 2017017854 | Missouri |
Profile Details
| NPI number | 1386084630 |
|---|---|
| LBN Legal business name | Halytskyy, Oleksandr |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 1st, 2013 |
| Last updated | Jul 21st, 2022 - about 2 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 | 1386084630 | NPPES |
| Missouri | MEDICAID | 1386084630 |
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