Ruskey, Timothy

Ruskey, Timothy is an individual health care provider with primary practice located at 1050 Volunteer St , Church Hill TN 37642-4435. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as his primary health care specialty. Ruskey, Timothy can be contacted via phone (423) 256-0119.

Contact Information

Primary practice address
1050 Volunteer St Church Hill TN 37642-4435
Phone: (423) 256-0119
Fax: (423) 357-0159
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 76086 Tennessee

Profile Details

NPI number 1588665848
LBN Legal business name Ruskey, Timothy
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 9th, 2005
Last updated Feb 2nd, 2010 - about 16 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 1588665848 NPPES
Tennessee MEDICAID 1512080

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