Melnichuk, Vladimir

Melnichuk, Vladimir is an individual health care provider with primary practice located at 1825 Marika Rd , Fairbanks AK 99709-5521. He recently has only one registered license in Other Service Providers / Community Health Worker, which is considered as his primary health care specialty. Melnichuk, Vladimir can be contacted via phone (907) 474-0890.

Contact Information

Primary practice address
1825 Marika Rd Fairbanks AK 99709-5521
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Community Health Worker 172V00000X

Profile Details

NPI number 1528338563
LBN Legal business name Melnichuk, Vladimir
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 6th, 2012
Last updated Jan 6th, 2012 - about 12 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 1528338563 NPPES
Alaska MEDICAID MH3237

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