Rustenholtz, Kipp Edward
Rustenholtz, Kipp Edward is an sole proprietor health care provider with primary practice located at 1881 W Grand River Ave , Okemos MI 48864-1840. 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. Rustenholtz, Kipp Edward can be contacted via phone (517) 339-2100.Contact Information
Primary practice address
1881 W Grand River Ave
Okemos MI 48864-1840
Phone: (517) 339-2100
Fax: (517) 339-4620
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | Michigan |
Profile Details
| NPI number | 1114193356 |
|---|---|
| LBN Legal business name | Rustenholtz, Kipp Edward |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 7th, 2008 |
| Last updated | Jan 10th, 2018 - about 8 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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