Staskus, Gitana
Staskus, Gitana is an individual health care provider with primary practice located at 615 Arapeen Dr Suite 100, Salt Lake City UT 84108-1267. She recently has only one registered license in Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism, which is considered as her primary health care specialty. Staskus, Gitana can be contacted via phone (801) 581-7761.Contact Information
Primary practice address
615 Arapeen Dr Suite 100
Salt Lake City UT 84108-1267
Phone: (801) 581-7761
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism | 207RE0101X | 036-109743 | Illinois |
Profile Details
| NPI number | 1790842706 |
|---|---|
| LBN Legal business name | Staskus, Gitana |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 2nd, 2007 |
| Last updated | Nov 19th, 2021 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1790842706 | NPPES |
| Illinois | MEDICAID | 036109743 1 |
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