Mikitchenko, Tanya

Mikitchenko, Tanya is an sole proprietor health care provider with primary practice located at 328B Sparta Ave , Sparta NJ 07871-1167. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Mikitchenko, Tanya can be contacted via phone (973) 604-2020.

Contact Information

Primary practice address
328B Sparta Ave Sparta NJ 07871-1167
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 008131 New York
Eye and Vision Services Providers / Optometrist 152W00000X 27OA00710300 New Jersey

Profile Details

NPI number 1902219033
LBN Legal business name Mikitchenko, Tanya
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 5th, 2014
Last updated Dec 28th, 2021 - about 3 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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