Roczniak, Regina Jo

Roczniak, Regina Jo is an individual health care provider with primary practice located at 2704 Henry St , Greensboro NC 27405-3633. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Surgical. Physician Assistants & Advanced Practice Nursing Providers / Surgical is her primary health care specialty. Roczniak, Regina Jo can be contacted via phone (336) 621-3777.

Contact Information

Primary practice address
2704 Henry St Greensboro NC 27405-3633
Phone: (336) 621-3777
Fax: (336) 621-8374
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 0010-02313 North Carolina
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 0010-02313 North Carolina

Profile Details

NPI number 1598812794
LBN Legal business name Roczniak, Regina Jo
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 3rd, 2007
Last updated Jan 15th, 2014 - about 11 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 1598812794 NPPES
North Carolina Other 2762327 MEDICARE PTAN

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