Ponomarenko, Ihor Nicholas
Ponomarenko, Ihor Nicholas is an individual health care provider with primary practice located at 350 Seymour Ave Suite 101, Derby CT 06418-1336. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Ponomarenko, Ihor Nicholas can be contacted via phone (203) 732-3443.Contact Information
Primary practice address
350 Seymour Ave Suite 101
Derby CT 06418-1336
Phone: (203) 732-3443
Fax: (203) 732-4011
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 041556 | Connecticut |
Profile Details
| NPI number | 1568491181 |
|---|---|
| LBN Legal business name | Ponomarenko, Ihor Nicholas |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 3rd, 2006 |
| Last updated | May 31st, 2013 - about 12 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 | 1568491181 | NPPES |
| Connecticut | MEDICAID | 001415563 |
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