Individual
VALENTINA BACHNIVSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A.T.
Contact information
Practice address
915 N WESTERN AVE, MARION, IN 46952-2505
(765) 664-3470
(765) 664-3489
Mailing address
PO BOX 106, MARION, IN 46952-0106
(765) 664-3470
(765) 664-3489
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
23000855A
IN
237600000X
Audiologist-Hearing Aid Fitter
23000855A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000188598
BLUE CROSS AUDIOLOGY
IN
05
—
100417580A
—
IN
01
—
295210
MEDICARE
IN
Enumeration date
03/26/2007
Last updated
11/24/2008
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