Ali, Rustom

Ali, Rustom is an individual health care provider with primary practice located at 1968 Mesquite Ave , Lake Havasu City AZ 86403-5729. He recently has 2 registered licenses in different health care specialties including Dietary & Nutritional Service Providers / Nutrition, Education, Other Service Providers / Health Educator. Dietary & Nutritional Service Providers / Nutrition, Education is his primary health care specialty. Ali, Rustom can be contacted via phone (480) 703-4227.

Contact Information

Primary practice address
1968 Mesquite Ave Lake Havasu City AZ 86403-5729
Phone: (480) 703-4227
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Nutrition, Education 133NN1002X 778154 Arizona
Other Service Providers / Health Educator 174H00000X 778154 Arizona

Profile Details

NPI number 1790190155
LBN Legal business name Ali, Rustom
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 24th, 2014
Last updated Jun 24th, 2014 - about 12 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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