Minasova, Viktoriya Rantikovna
Minasova, Viktoriya Rantikovna is an individual health care provider with primary practice located at 2916 W Caribbean Ln , Phoenix AZ 85053-4882. She recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Respiratory Therapist, Registered. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Respiratory Therapist, Registered is her primary health care specialty. Minasova, Viktoriya Rantikovna can be contacted via phone (480) 828-6747.Contact Information
Primary practice address
2916 W Caribbean Ln
Phoenix AZ 85053-4882
Phone: (480) 828-6747
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist | 225700000X | MT-26912 | Arizona |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Respiratory Therapist, Registered | 227900000X | 6888 | Arizona |
Profile Details
NPI number | 1871741348 |
---|---|
LBN Legal business name | Minasova, Viktoriya Rantikovna |
Credentials | Registered Respiratory Therapist (RRT) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Sep 8th, 2008 |
Last updated | Sep 22nd, 2020 - about 4 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 | 1871741348 | NPPES |
Arizona | MEDICAID | 1871741343 |
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