Tarasyuk, Alexandr
Tarasyuk, Alexandr is an individual health care provider with primary practice located at 123 Summer St , Worcester MA 01608-1216. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Surgical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty. Tarasyuk, Alexandr can be contacted via phone (508) 363-6363.Contact Information
Primary practice address
123 Summer St
Worcester MA 01608-1216
Phone: (508) 363-6363
Fax: (508) 363-7164
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Surgical | 363AS0400X | PA4219 | Massachusetts |
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 2785 | Connecticut |
Profile Details
NPI number | 1427337385 |
---|---|
LBN Legal business name | Tarasyuk, Alexandr |
Credentials | Physician Assistant (PA) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Aug 10th, 2011 |
Last updated | Sep 10th, 2019 - about 6 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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