Vinogradsky, Boris

Vinogradsky, Boris is an sole proprietor health care provider with primary practice located at 36100 Euclid Ave Ste 330B , Willoughby OH 44094-4489. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Vinogradsky, Boris can be contacted via phone (440) 953-8055.

Contact Information

Primary practice address
36100 Euclid Ave Ste 330B Willoughby OH 44094-4489
Phone: (440) 953-8055
Fax: (440) 953-0242
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 35.075888 Ohio

Profile Details

NPI number 1447220025
LBN Legal business name Vinogradsky, Boris
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 25th, 2006
Last updated Oct 9th, 2015 - about 11 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 1447220025 NPPES
Ohio Other 000000227664 BLUECROSS BLUESHIELD
Ohio Other P00275951 BLUECROSS BLUESHIELD
Ohio MEDICAID 2224499 BLUECROSS BLUESHIELD

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