Nichiporenko, Igor

Nichiporenko, Igor is an sole proprietor health care provider with primary practice located at 201 E Sample Rd , Deerfield Beach FL 33064-3502. He recently has 3 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Trauma Surgery, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. Nichiporenko, Igor can be contacted via phone (954) 941-8300.

Contact Information

Primary practice address
201 E Sample Rd Deerfield Beach FL 33064-3502
Phone: (954) 941-8300
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X ME107033 Florida
Allopathic & Osteopathic Physicians / Trauma Surgery 2086S0127X ME107033 Florida
Allopathic & Osteopathic Physicians / Surgery 208600000X ME 107033 Florida

Profile Details

NPI number 1700104874
LBN Legal business name Nichiporenko, Igor
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 13th, 2010
Last updated Jul 22nd, 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 1700104874 NPPES
Florida MEDICAID 004456500

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