Rustom, David H
Rustom, David H is an sole proprietor health care provider with primary practice located at 261 Mack Ave Ste 188 , Detroit MI 48201-2417. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Pain Medicine is his primary health care specialty. Rustom, David H can be contacted via phone (313) 745-4600.Contact Information
Primary practice address
261 Mack Ave Ste 188
Detroit MI 48201-2417
Phone: (313) 745-4600
Fax: (313) 745-1165
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 4301101540 | Michigan |
| Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation | 208100000X | 4301101540 | Michigan |
| Allopathic & Osteopathic Physicians / Pain Medicine | 2081P2900X | 4301101540 | Michigan |
Profile Details
| NPI number | 1073877320 |
|---|---|
| LBN Legal business name | Rustom, David H |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 2nd, 2012 |
| Last updated | Mar 17th, 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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