Szostak-Wodecki, Debra
Szostak-Wodecki, Debra is an individual health care provider with primary practice located at 293 Old Mocksville Rd , Statesville NC 28625-1930. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Geriatric Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is her primary health care specialty. Szostak-Wodecki, Debra can be contacted via phone (704) 872-8711.Contact Information
Primary practice address
293 Old Mocksville Rd
Statesville NC 28625-1930
Phone: (704) 872-8711
Fax: (704) 872-5866
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 9300336 | North Carolina |
| Allopathic & Osteopathic Physicians / Geriatric Medicine | 207RG0300X | 9300336 | North Carolina |
Profile Details
| NPI number | 1598760407 |
|---|---|
| LBN Legal business name | Szostak-Wodecki, Debra |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 16th, 2005 |
| Last updated | Aug 28th, 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 | 1598760407 | NPPES |
| North Carolina | MEDICAID | 8981323 |
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