Fosforova, Olena

Fosforova, Olena is an sole proprietor health care provider with primary practice located at 1100 S Mint St Ste 109 , Charlotte NC 28203-4058. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist, which is considered as her primary health care specialty. Fosforova, Olena can be contacted via phone (704) 763-9044.

Contact Information

Primary practice address
1100 S Mint St Ste 109 Charlotte NC 28203-4058
Phone: (704) 763-9044
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist 225700000X 12549 North Carolina

Profile Details

NPI number 1891222303
LBN Legal business name Fosforova, Olena
Credentials LMBT
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 15th, 2017
Last updated Jul 21st, 2022 - about 4 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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