Roussel, John

Roussel, John is an individual health care provider with primary practice located at 3605 Northgate Ct Ste 101, New Albany IN 47150-6400. He recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered. Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered is his primary health care specialty. Roussel, John can be contacted via phone (812) 944-4263.

Contact Information

Primary practice address
3605 Northgate Ct Ste 101 New Albany IN 47150-6400
Phone: (812) 944-4263
Fax: (812) 944-1166
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 28152575A Indiana
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 47452 Kentucky

Profile Details

NPI number 1659365658
LBN Legal business name Roussel, John
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 6th, 2005
Last updated Nov 15th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1659365658 NPPES
Indiana MEDICAID 200363700

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