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Contact Information

DOVILE NAZAREVYCH
2205 W MEDICINE LAKE DR
PLYMOUTH, MN55441-4142
 Phone: 612-707-1660
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type
Indicates primary specialty

NPI Profile & details for DOVILE NAZAREVYCH · (Female)

NPI Number 1366194227
Status Active
Credentials
Entity Individual
Enumeration date 01/21/2022
Last updated 01/21/2022 - About 4 years ago
Sole proprietor 1 Yes
Identifiers
  • MN Other 24D2245122 CMS, CLIA NUMBER
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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