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Contact Information

ROXANNE MASLIKOWSKI
875 PERIMETER DR
MOSCOW, ID83844-9803
 Phone: 219-308-6853
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Sports Medicine

2081S0010X 25 Physician/Physical Medicine and Rehabilitation
 

Physical Medicine & Rehabilitation

208100000X 25 Physician/Physical Medicine and Rehabilitation
Indicates primary specialty

NPI Profile & details for ROXANNE MASLIKOWSKI · (Female)

NPI Number 1215415914
Status Active
Credentials
Entity Individual
Enumeration date 08/03/2018
Last updated 08/03/2018 - About 8 years ago
Sole proprietor 1 Yes
Identifiers
  • ID License # AT-665
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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