Pasikhov, Dmitry K

Pasikhov, Dmitry K is an individual health care provider with primary practice located at 146 E Geneva Square , Lake Geneva WI 53147. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Pasikhov, Dmitry K can be contacted via phone (262) 249-5000.

Contact Information

Primary practice address
146 E Geneva Square Lake Geneva WI 53147
Phone: (262) 249-5000
Fax: (262) 249-7142
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 36100851 Illinois
Allopathic & Osteopathic Physicians / Surgery 208600000X 44347 Wisconsin

Profile Details

NPI number 1780791012
LBN Legal business name Pasikhov, Dmitry K
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 23rd, 2006
Last updated Oct 19th, 2023 - about last year

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 1780791012 NPPES
Wisconsin MEDICAID 34192400

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