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:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1447252234 | NPPES |
North Carolina | MEDICAID | 5904552 |
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