| Oleksandr Osipchuk Md Phd Psychiatric Services Llc | |
|
1424 W Baddour Pkwy Suite C Lebanon TN 37087-2685 | |
| (615) 444-3836 | |
| Not Available |
| Full Name | Oleksandr Osipchuk Md Phd Psychiatric Services Llc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 1424 W Baddour Pkwy, Lebanon, Tennessee |
| Authorized Official Name and Position | Oleksandr Osipchuk (OWNER) |
| Authorized Official Contact | 6154443836 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Oleksandr Osipchuk Md Phd Psychiatric Services Llc 1424 W Baddour Pkwy Suite C Lebanon TN 37087-2685 Ph: (615) 444-3836 | Oleksandr Osipchuk Md Phd Psychiatric Services Llc 1424 W Baddour Pkwy Suite C Lebanon TN 37087-2685 Ph: (615) 444-3836 |
| NPI Number | 1295049492 |
|---|---|
| Provider Enumeration Date | 07/29/2010 |
| Last Update Date | 10/13/2010 |
| Medicare PECOS PAC ID | 4284759754 |
|---|---|
| Medicare Enrollment ID | O20100921000858 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295049492 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 45937 (Tennessee) | Primary |
| Provider Name | Oleksandr Osipchuk |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1700045416 PECOS PAC ID: 3476604406 Enrollment ID: I20100927000068 |
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