Nazarevych, Dovile

Nazarevych, Dovile is an sole proprietor health care provider with primary practice located at 2205 W Medicine Lake Dr , Plymouth MN 55441-4142. She recently has only one registered license in Technologists, Technicians & Other Technical Service Providers / Clinical Laboratory Director, Non-physician, which is considered as her primary health care specialty. Nazarevych, Dovile can be contacted via phone (612) 707-1660.

Contact Information

Primary practice address
2205 W Medicine Lake Dr Plymouth MN 55441-4142
Fax:
Website:

Profile Details

NPI number 1366194227
LBN Legal business name Nazarevych, Dovile
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 21st, 2022
Last updated Jan 21st, 2022 - about 2 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 1366194227 NPPES
Minnesota Other 24D2245122 CMS, CLIA NUMBER

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