Vereschagin, Kenneth

Vereschagin, Kenneth is an individual health care provider with primary practice located at 2652 El Camino Real , Santa Clara CA 95051-3041. He recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as his primary health care specialty. Vereschagin, Kenneth can be contacted via phone (408) 524-5952.

Contact Information

Primary practice address
2652 El Camino Real Santa Clara CA 95051-3041
Phone: (408) 524-5952
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 2080S0010X G61515 California

Profile Details

NPI number 1497837785
LBN Legal business name Vereschagin, Kenneth
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 19th, 2006
Last updated Dec 2nd, 2011 - about 14 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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