Wasylenki, Eugene W.

Wasylenki, Eugene W. is an sole proprietor health care provider with primary practice located at 7012 Vista Del Arroyo Ave Ne , Albuquerque NM 87109-2933. He recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as his primary health care specialty. Wasylenki, Eugene W. can be contacted via phone (505) 884-7813.

Contact Information

Primary practice address
7012 Vista Del Arroyo Ave Ne Albuquerque NM 87109-2933
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X NM 72-245 New Mexico

Profile Details

NPI number 1619197316
LBN Legal business name Wasylenki, Eugene W.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 26th, 2007
Last updated Jul 8th, 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 1619197316 NPPES
New Mexico MEDICAID 29173

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