Khibkin, Yuri
Khibkin, Yuri is an individual health care provider with primary practice located at 10 Hospital Dr Ste 103 , Holyoke MA 01040-6603. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Interventional Pain Medicine. Allopathic & Osteopathic Physicians / Interventional Pain Medicine is his primary health care specialty. Khibkin, Yuri can be contacted via phone (134) 535-4933.Contact Information
Primary practice address
10 Hospital Dr Ste 103
Holyoke MA 01040-6603
Phone: (134) 535-4933
Fax: (413) 535-4934
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 27939 | Massachusetts |
Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 01077041A | Indiana |
Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 235329 | New York |
Allopathic & Osteopathic Physicians / Interventional Pain Medicine | 208VP0014X | 01077041A | Indiana |
Allopathic & Osteopathic Physicians / Interventional Pain Medicine | 208VP0014X | 279391 | Massachusetts |
Profile Details
NPI number | 1023177664 |
---|---|
LBN Legal business name | Khibkin, Yuri |
Credentials | |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Dec 8th, 2006 |
Last updated | Sep 12th, 2019 - about 6 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 | 1023177664 | NPPES |
New York | MEDICAID | 02670157 | |
New York | MEDICAID | 201366750 |
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