Rusin, Spencer Louis

Rusin, Spencer Louis is an individual health care provider with primary practice located at 8901 W Lincoln Ave , West Allis WI 53227-2409. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as his primary health care specialty. Rusin, Spencer Louis can be contacted via phone (414) 328-7997.

Contact Information

Primary practice address
8901 W Lincoln Ave West Allis WI 53227-2409
Phone: (414) 328-7997
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X 75333-20 Wisconsin
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X 0101260209 Virginia

Profile Details

NPI number 1710278007
LBN Legal business name Rusin, Spencer Louis
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 21st, 2011
Last updated Jan 3rd, 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 1710278007 NPPES
Virginia MEDICAID 1710278007
Virginia MEDICAID 100175540

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