Kanyuk-Stoupnitska, Rostislava

Kanyuk-Stoupnitska, Rostislava is an individual health care provider with primary practice located at 138 Haverhill Street , Andover MA 01810. She recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as her primary health care specialty. Kanyuk-Stoupnitska, Rostislava can be contacted via phone (978) 296-2302.

Contact Information

Primary practice address
138 Haverhill Street Andover MA 01810
Fax: (978) 296-2304
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 38662 Kentucky
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 233627 Massachusetts

Profile Details

NPI number 1477614196
LBN Legal business name Kanyuk-Stoupnitska, Rostislava
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 13th, 2006
Last updated Jan 21st, 2010 - about 14 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 1477614196 NPPES
Other 129960 FALLON
Other 1477614196 FALLON
MEDICAID 2142171 FALLON
Other 41844 FALLON
Other 1477614196 FALLON
MEDICAID 30207632 FALLON
Other J42642 FALLON
Other 8961939 FALLON
Other AA97507 FALLON
Other 459069 FALLON
Other 95855401 FALLON

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