Tourluk Jr., Victor

Tourluk Jr., Victor is an sole proprietor health care provider with primary practice located at 2288 N Sierra Way , San Bernardino CA 92405-3544. He recently has only one registered license in Other Service Providers / Prosthetics Case Management, which is considered as his primary health care specialty. Tourluk Jr., Victor can be contacted via phone (909) 475-8724.

Contact Information

Primary practice address
2288 N Sierra Way San Bernardino CA 92405-3544
Fax: (909) 475-8126
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Prosthetics Case Management 1744P3200X

Profile Details

NPI number 1891866596
LBN Legal business name Tourluk Jr., Victor
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 13th, 2006
Last updated Nov 6th, 2007 - about 18 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 1891866596 NPPES
California MEDICAID GXC000760

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