Kostrub, Justine
Kostrub, Justine is an sole proprietor health care provider with primary practice located at 720 Blackburn Rd Fl 1 , Sewickley PA 15143-1459. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is her primary health care specialty. Kostrub, Justine can be contacted via phone (412) 741-0985.Contact Information
Primary practice address
720 Blackburn Rd Fl 1
Sewickley PA 15143-1459
Phone: (412) 741-0985
Fax: (412) 749-6785
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | MT-207188 | Pennsylvania |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | MD461424 | Pennsylvania |
Profile Details
| NPI number | 1386057776 |
|---|---|
| LBN Legal business name | Kostrub, Justine |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 4th, 2014 |
| Last updated | Jul 10th, 2017 - about 8 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1386057776 | NPPES |
| Pennsylvania | MEDICAID | 103147653 |
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