Johnson, Rurik

Johnson, Rurik is an individual health care provider with primary practice located at 550 Orchard Park Rd A103, West Seneca NY 14224-2646. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Johnson, Rurik can be contacted via phone (716) 677-5500.

Contact Information

Primary practice address
550 Orchard Park Rd A103 West Seneca NY 14224-2646
Phone: (716) 677-5500
Fax: (716) 677-5008
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 229457 New York

Profile Details

NPI number 1760495824
LBN Legal business name Johnson, Rurik
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 13th, 2006
Last updated Dec 3rd, 2009 - about 17 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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Identifiers

StateTypeNumberIssuer
All States NPI 1760495824 NPPES
Other 00028110301 UNIVERA
Other 0156830 UNIVERA
Other 000529158001 UNIVERA
Other P00474579 UNIVERA
Other 229457-7W UNIVERA
MEDICAID 02877796 UNIVERA
Other 1714218 UNIVERA

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