Sobchuk, Tania Nicole
Sobchuk, Tania Nicole is an sole proprietor health care provider with primary practice located at 1990 Mcculloch Blvd N # 101, Lake Havasu City AZ 86403-5749. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Sobchuk, Tania Nicole can be contacted via phone (928) 855-5026.Contact Information
Primary practice address
1990 Mcculloch Blvd N # 101
Lake Havasu City AZ 86403-5749
Phone: (928) 855-5026
Fax: (928) 854-4512
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 1311 | Arizona |
Profile Details
| NPI number | 1760458384 |
|---|---|
| LBN Legal business name | Sobchuk, Tania Nicole |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 23rd, 2006 |
| Last updated | Mar 7th, 2023 - about last year |
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 | 1760458384 | NPPES |
| Arizona | Other | 1311 | STATE LICENSE NUMBER |
| Arizona | MEDICAID | 806028 | STATE LICENSE NUMBER |
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