Rusin, Wayne J

Rusin, Wayne J is an individual health care provider with primary practice located at 1506 S Oneida St , Appleton WI 54915-1305. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Developmental – Behavioral Pediatrics. Allopathic & Osteopathic Physicians / Developmental – Behavioral Pediatrics is his primary health care specialty. Rusin, Wayne J can be contacted via phone (920) 730-4950.

Contact Information

Primary practice address
1506 S Oneida St Appleton WI 54915-1305
Phone: (920) 730-4950
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 31022 Wisconsin
Allopathic & Osteopathic Physicians / Developmental – Behavioral Pediatrics 2080P0006X 31022 Wisconsin

Profile Details

NPI number 1083608079
LBN Legal business name Rusin, Wayne J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 6th, 2005
Last updated Sep 9th, 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 1083608079 NPPES
Wisconsin MEDICAID 31571500

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