Nersesyan, Hrachya
Nersesyan, Hrachya is an individual health care provider with primary practice located at 100 Ne Randolph Ave , Peoria IL 61606-1919. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Nersesyan, Hrachya can be contacted via phone (309) 624-8500.Contact Information
Primary practice address
100 Ne Randolph Ave
Peoria IL 61606-1919
Phone: (309) 624-8500
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | 125-048819 | Illinois |
Profile Details
| NPI number | 1497957468 |
|---|---|
| LBN Legal business name | Nersesyan, Hrachya |
| Credentials | M.D., PH.D. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 1st, 2007 |
| Last updated | Jul 10th, 2009 - about 15 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 | 1497957468 | NPPES |
| Illinois | Other | 809840 | MEDICARE GROUP PTAN |
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