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
Phone: (928) 788-3333
Fax: (928) 788-3555
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1285649145 | NPPES |
Arizona | MEDICAID | 103360 |
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