Serbine, Oleg V

Serbine, Oleg V is an individual health care provider with primary practice located at 1510 E Wagon Wheel Ln Ste. 110, Fort Mohave AZ 86426-6697. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pain Medicine, Allopathic & Osteopathic Physicians / Anesthesiology. Allopathic & Osteopathic Physicians / Pain Medicine is his primary health care specialty. Serbine, Oleg V can be contacted via phone (928) 788-3333.

Contact Information

Primary practice address
1510 E Wagon Wheel Ln Ste. 110 Fort Mohave AZ 86426-6697
Fax: (928) 788-3555
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X 37626 Arizona
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 37626 Arizona

Profile Details

NPI number 1285649145
LBN Legal business name Serbine, Oleg V
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 29th, 2006
Last updated Sep 1st, 2016 - about 9 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 1285649145 NPPES
Arizona MEDICAID 103360

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