Prust, Robert M
Prust, Robert M is an individual health care provider with primary practice located at 1105 Sixth Street , Traverse City MI 49684. He recently has only one registered license in Allopathic & Osteopathic Physicians / Radiation Oncology, which is considered as his primary health care specialty. Prust, Robert M can be contacted via phone (231) 935-7100.Contact Information
Primary practice address
1105 Sixth Street
Traverse City MI 49684
Phone: (231) 935-7100
Fax: (231) 935-7126
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Radiation Oncology | 2085R0001X | 050323 | Michigan |
Profile Details
| NPI number | 1629099437 |
|---|---|
| LBN Legal business name | Prust, Robert M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 21st, 2006 |
| Last updated | Sep 19th, 2012 - about 14 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1629099437 | NPPES |
| Michigan | MEDICAID | B48923 |
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