Kohutiak, Vsevolod

Kohutiak, Vsevolod is an sole proprietor health care provider with primary practice located at 1068 W Baltimore Pike , Media PA 19063. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Kohutiak, Vsevolod can be contacted via phone (610) 891-3388.

Contact Information

Primary practice address
1068 W Baltimore Pike Media PA 19063
Phone: (610) 891-3388
Fax: (610) 891-3680
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MD011593E Pennsylvania

Profile Details

NPI number 1366410854
LBN Legal business name Kohutiak, Vsevolod
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 9th, 2006
Last updated Jan 8th, 2008 - about 16 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 1366410854 NPPES
Pennsylvania Other 0031354000 IBC
Pennsylvania MEDICAID 76865780012 IBC

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