Starodub, Roksolana

Starodub, Roksolana is an individual health care provider with primary practice located at 1350 S Kings Dr , Charlotte NC 28207-2134. She 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 / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Starodub, Roksolana can be contacted via phone (704) 631-0002.

Contact Information

Primary practice address
1350 S Kings Dr Charlotte NC 28207-2134
Phone: (704) 631-0002
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X SP010110 Pennsylvania
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 284130 North Carolina

Profile Details

NPI number 1336385855
LBN Legal business name Starodub, Roksolana
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 6th, 2009
Last updated Nov 11th, 2016 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1336385855 NPPES
South Carolina MEDICAID NP3849
South Carolina MEDICAID 1336385855

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