Rostash, Mark David

Rostash, Mark David is an individual health care provider with primary practice located at 1301 Punchbowl St , Honolulu HI 96813-2499. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Acute Care, Physician Assistants & Advanced Practice Nursing Providers / Critical Care Medicine. Physician Assistants & Advanced Practice Nursing Providers / Acute Care is his primary health care specialty. Rostash, Mark David can be contacted via phone (808) 691-1000.

Contact Information

Primary practice address
1301 Punchbowl St Honolulu HI 96813-2499
Phone: (808) 691-1000
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X 235645 Arizona
Physician Assistants & Advanced Practice Nursing Providers / Critical Care Medicine 363LC0200X 235645 Arizona
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X APRN-3542 Hawaii

Profile Details

NPI number 1780222158
LBN Legal business name Rostash, Mark David
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 17th, 2019
Last updated Jul 27th, 2022 - about 2 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 1780222158 NPPES
Arizona MEDICAID 092349

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