Itkin, Olga

Itkin, Olga is an individual health care provider with primary practice located at 14425 Bustleton Ave , Philadelphia PA 19116-1177. She recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as her primary health care specialty. Itkin, Olga can be contacted via phone (215) 676-3236.

Contact Information

Primary practice address
14425 Bustleton Ave Philadelphia PA 19116-1177
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X DC006252L Pennsylvania

Profile Details

NPI number 1033101910
LBN Legal business name Itkin, Olga
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 17th, 2005
Last updated Jul 8th, 2007 - about 17 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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Identifiers

StateTypeNumberIssuer
All States NPI 1033101910 NPPES
Pennsylvania MEDICAID 01530727

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