Roosta, Roya

Roosta, Roya is an individual health care provider with primary practice located at 1101 W University Dr , Rochester MI 48307-1863. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as her primary health care specialty. Roosta, Roya can be contacted via phone (248) 652-5354.

Contact Information

Primary practice address
1101 W University Dr Rochester MI 48307-1863
Phone: (248) 652-5354
Fax: (248) 652-5861
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 4704206586 Michigan

Profile Details

NPI number 1932252665
LBN Legal business name Roosta, Roya
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 18th, 2007
Last updated Nov 6th, 2012 - about 13 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 1932252665 NPPES
Michigan MEDICAID 4705433
Michigan Other 11905112
Michigan Other 430F364550

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