Istomin, Sergey L
Istomin, Sergey L is an individual health care provider with primary practice located at 6040 Southport Dr , Bethesda MD 20814-1848. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as his primary health care specialty. Istomin, Sergey L can be contacted via phone (301) 493-4200.Contact Information
Primary practice address
6040 Southport Dr
Bethesda MD 20814-1848
Phone: (301) 493-4200
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | R208690 | Maryland |
Profile Details
NPI number | 1023384963 |
---|---|
LBN Legal business name | Istomin, Sergey L |
Credentials | CRNP, PMHNP-BC |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Mar 26th, 2012 |
Last updated | Dec 3rd, 2013 - about 11 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.
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