Pushkin, Yaacov
Pushkin, Yaacov is an individual health care provider with primary practice located at 5213 Hickory Park Dr Ste A , Glen Allen VA 23059-2617. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Pushkin, Yaacov can be contacted via phone (804) 237-8030.Contact Information
Primary practice address
5213 Hickory Park Dr Ste A
Glen Allen VA 23059-2617
Phone: (804) 237-8030
Fax: (804) 237-8028
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 0101047546 | Virginia |
Profile Details
NPI number | 1790866812 |
---|---|
LBN Legal business name | Pushkin, Yaacov |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Oct 17th, 2006 |
Last updated | May 11th, 2012 - 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 | 1790866812 | NPPES |
Virginia | MEDICAID | 010101000 541581185 |
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