Rusenko, Jan C
Rusenko, Jan C is an sole proprietor health care provider with primary practice located at 435 Ocean Creek Dr #2711 , Myrtle Beach SC 29572. She recently has only one registered license in Behavioral Health & Social Service Providers / Pastoral, which is considered as her primary health care specialty. Rusenko, Jan C can be contacted via phone (843) 267-5007.Contact Information
Primary practice address
435 Ocean Creek Dr #2711
Myrtle Beach SC 29572
Phone: (843) 267-5007
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Pastoral | 101YP1600X |
Profile Details
| NPI number | 1487926176 |
|---|---|
| LBN Legal business name | Rusenko, Jan C |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 27th, 2012 |
| Last updated | Jan 27th, 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 | 1487926176 | NPPES |
| South Carolina | Other | 570719507 | PRIVATE INSURANCE |
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