Roussalis, John L
Roussalis, John L is an sole proprietor health care provider with primary practice located at 537 Stanton Christiana Rd , Newark DE 19713-2146. He recently has only one registered license in Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery, which is considered as his primary health care specialty. Roussalis, John L can be contacted via phone (302) 633-7550.Contact Information
Primary practice address
537 Stanton Christiana Rd
Newark DE 19713-2146
Phone: (302) 633-7550
Fax: (302) 633-7556
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery | 2086S0122X | MD426938 | Pennsylvania |
Profile Details
| NPI number | 1235252669 |
|---|---|
| LBN Legal business name | Roussalis, John L |
| Credentials | M.D.PC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 9th, 2007 |
| Last updated | Jun 23rd, 2021 - about 5 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 | 1235252669 | NPPES |
| Wyoming | MEDICAID | 127068100 | |
| Wyoming | Other | W21591 |
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