Provider Demographics
NPI:1730147273
Name:ROSLONSKI, ERIC THOMAS (DO)
Entity type:Individual
Prefix:
First Name:ERIC
Middle Name:THOMAS
Last Name:ROSLONSKI
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:310 OVERLOOK RD STE B
Mailing Address - Street 2:
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28803-3319
Mailing Address - Country:US
Mailing Address - Phone:828-483-5788
Mailing Address - Fax:828-333-5360
Practice Address - Street 1:31 CALIFORNIA AVE
Practice Address - Street 2:
Practice Address - City:MARION
Practice Address - State:NC
Practice Address - Zip Code:28752-9389
Practice Address - Country:US
Practice Address - Phone:828-559-3399
Practice Address - Fax:828-687-7858
Is Sole Proprietor?:No
Enumeration Date:2006-05-03
Last Update Date:2023-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOS012427208100000X
NC2017-02039208100000X, 2081N0008X, 2081P2900X
PA2017-020392081P2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2081P2900XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationPain Medicine
No208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation
No2081N0008XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationNeuromuscular Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1015817650001Medicaid
PA101167Medicare PIN