Rousselot, Anthony Max

Rousselot, Anthony Max is an individual health care provider with primary practice located at 1600 Weeot Way , Arcata CA 95521-4734. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Rousselot, Anthony Max can be contacted via phone (707) 825-5010.

Contact Information

Primary practice address
1600 Weeot Way Arcata CA 95521-4734
Phone: (707) 825-5010
Fax: (707) 825-6736
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA13540 California

Profile Details

NPI number 1568460608
LBN Legal business name Rousselot, Anthony Max
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 12th, 2005
Last updated Sep 14th, 2022 - about 4 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 1568460608 NPPES
California Other EN021Z MEDICARE PART B - PTAN

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