Rutan, Thomas C

Rutan, Thomas C is an sole proprietor health care provider with primary practice located at 90 Bergen St Suite 7100, Newark NJ 07103-2425. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as his primary health care specialty. Rutan, Thomas C can be contacted via phone (973) 972-2400.

Contact Information

Primary practice address
90 Bergen St Suite 7100 Newark NJ 07103-2425
Phone: (973) 972-2400
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 364SA2200X 26NC08521200 New Jersey

Profile Details

NPI number 1871643304
LBN Legal business name Rutan, Thomas C
Credentials RN, APN, C
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 10th, 2007
Last updated Jul 9th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1871643304 NPPES
New Jersey MEDICAID 8382905

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