Nazarov, Igor
Nazarov, Igor is an individual health care provider with primary practice located at 15214 Canyon Rd E , Puyallup WA 98375-7472. He recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as his primary health care specialty. Nazarov, Igor can be contacted via phone (253) 539-4200.Contact Information
Primary practice address
15214 Canyon Rd E
Puyallup WA 98375-7472
Phone: (253) 539-4200
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / General Practice | 208D00000X | UV075151 | Zz |
Profile Details
| NPI number | 1205151958 |
|---|---|
| LBN Legal business name | Nazarov, Igor |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 6th, 2010 |
| Last updated | Jul 12th, 2016 - about 9 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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