Ellington, Roxanne Rost

Ellington, Roxanne Rost is an individual health care provider with primary practice located at 402 Trent Drive , Durham NC 27705. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Ellington, Roxanne Rost can be contacted via phone (919) 668-5559.

Contact Information

Primary practice address
402 Trent Drive Durham NC 27705
Phone: (919) 668-5559
Fax: (919) 668-4496
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 339 North Carolina

Profile Details

NPI number 1316055080
LBN Legal business name Ellington, Roxanne Rost
Credentials LCAS
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 25th, 2006
Last updated Jul 8th, 2007 - about 17 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 1316055080 NPPES
North Carolina MEDICAID 6111771

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