Rush, Gary

Rush, Gary is an sole proprietor health care provider with primary practice located at 2959 S 92Nd St , West Allis WI 53227-3601. He recently has only one registered license in Nursing Service Providers / Registered Nurse, which is considered as his primary health care specialty. Rush, Gary can be contacted via phone (414) 727-4921.

Contact Information

Primary practice address
2959 S 92Nd St West Allis WI 53227-3601
Phone: (414) 727-4921
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 130673-030 Wisconsin

Profile Details

NPI number 1790943033
LBN Legal business name Rush, Gary
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 22nd, 2008
Last updated May 22nd, 2008 - about 18 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 1790943033 NPPES
Wisconsin MEDICAID 130673-030

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