Shut, Vladislav
Shut, Vladislav is an sole proprietor health care provider with primary practice located at 9201 W Sunset Blvd Ste M120 , West Hollywood CA 90069-3714. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist is his primary health care specialty. Shut, Vladislav can be contacted via phone (310) 246-1050.Contact Information
Primary practice address
9201 W Sunset Blvd Ste M120
West Hollywood CA 90069-3714
Phone: (310) 246-1050
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation | 208100000X | PT32430 | California |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X |
Profile Details
| NPI number | 1578501052 |
|---|---|
| LBN Legal business name | Shut, Vladislav |
| Credentials | D.P.T. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 4th, 2006 |
| Last updated | Feb 2nd, 2018 - about 7 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 | 1578501052 | NPPES |
| California | Other | 205559183 | TAX ID |
| California | Other | PT32430 | TAX ID |
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