Staub, Svetlana Alexandra

Staub, Svetlana Alexandra is an individual health care provider with primary practice located at 2304 Delaney Rd , Wilmington NC 28403-6013. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Staub, Svetlana Alexandra can be contacted via phone (910) 763-3349.

Contact Information

Primary practice address
2304 Delaney Rd Wilmington NC 28403-6013
Phone: (910) 763-3349
Fax: (910) 251-9428
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 20060096 North Carolina

Profile Details

NPI number 1447252234
LBN Legal business name Staub, Svetlana Alexandra
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 11th, 2005
Last updated Dec 20th, 2023 - about last year

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 1447252234 NPPES
North Carolina MEDICAID 5904552

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