Shudark, Roxanne

Shudark, Roxanne is an individual health care provider with primary practice located at 106 Toepher Dr , Houghton Lake MI 48629-9278. She recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as her primary health care specialty. Shudark, Roxanne can be contacted via phone (989) 630-3409.

Contact Information

Primary practice address
106 Toepher Dr Houghton Lake MI 48629-9278
Phone: (989) 630-3409
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X 4703112155 Michigan

Profile Details

NPI number 1013372515
LBN Legal business name Shudark, Roxanne
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 28th, 2015
Last updated Dec 28th, 2015 - about 9 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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