Rutchik, Scott

Rutchik, Scott is an individual health care provider with primary practice located at 410 Park Pl Ste B , Mishawaka IN 46545-3557. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Rutchik, Scott can be contacted via phone (574) 855-5800.

Contact Information

Primary practice address
410 Park Pl Ste B Mishawaka IN 46545-3557
Phone: (574) 855-5800
Fax: (574) 855-5805
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X 01057389 Indiana

Profile Details

NPI number 1952356503
LBN Legal business name Rutchik, Scott
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 23rd, 2006
Last updated Sep 4th, 2008 - about 18 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 1952356503 NPPES
Indiana MEDICAID 200443540
Indiana Other P00038154
Indiana Other 021236800

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