Urban, Oleg
Urban, Oleg is an individual health care provider with primary practice located at 1018 W Main St , Lebanon TN 37087-3302. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Urban, Oleg can be contacted via phone (615) 466-5200.Contact Information
Primary practice address
1018 W Main St
Lebanon TN 37087-3302
Phone: (615) 466-5200
Fax: (615) 466-5206
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 2145 | Tennessee |
Profile Details
| NPI number | 1548261118 |
|---|---|
| LBN Legal business name | Urban, Oleg |
| Credentials | Physical Therapist (PT) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 4th, 2005 |
| Last updated | May 26th, 2009 - about 17 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 | 1548261118 | NPPES |
| Tennessee | MEDICAID | 3658040 |
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