Rustad, Kristine
Rustad, Kristine is an individual health care provider with primary practice located at 710 Lawrence Expy Dept 290 , Santa Clara CA 95051-5173. She recently has only one registered license in Allopathic & Osteopathic Physicians / Plastic Surgery, which is considered as her primary health care specialty. Rustad, Kristine can be contacted via phone (408) 851-2000.Contact Information
Primary practice address
710 Lawrence Expy Dept 290
Santa Clara CA 95051-5173
Phone: (408) 851-2000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Plastic Surgery | 208200000X | A127857 | California |
Profile Details
| NPI number | 1629335237 |
|---|---|
| LBN Legal business name | Rustad, Kristine |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 19th, 2012 |
| Last updated | Dec 17th, 2021 - about 5 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1629335237 | NPPES |
| California | MEDICAID | NONE |
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