Vitvitskiy, Boris

Vitvitskiy, Boris is an individual health care provider with primary practice located at 2525 W University Ave , Muncie IN 47303-3421. He recently has only one registered license in Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, which is considered as his primary health care specialty. Vitvitskiy, Boris can be contacted via phone (765) 751-5886.

Contact Information

Primary practice address
2525 W University Ave Muncie IN 47303-3421
Phone: (765) 751-5886
Fax: (765) 751-5889
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X 02005332A Indiana

Profile Details

NPI number 1831517978
LBN Legal business name Vitvitskiy, Boris
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 5th, 2014
Last updated Feb 1st, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1831517978 NPPES
Indiana MEDICAID 300013510
Indiana Other 000001173448

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