Rust, Jay T
Rust, Jay T is an individual health care provider with primary practice located at 1405 Mill St , New London WI 54961-2155. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Rust, Jay T can be contacted via phone (920) 531-2400.Contact Information
Primary practice address
1405 Mill St
New London WI 54961-2155
Phone: (920) 531-2400
Fax: (920) 531-2463
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 2162-023 | Wisconsin |
Profile Details
| NPI number | 1710185186 |
|---|---|
| LBN Legal business name | Rust, Jay T |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 6th, 2007 |
| Last updated | Jul 8th, 2007 - about 19 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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