Rutherford, Darin S

Rutherford, Darin S is an individual health care provider with primary practice located at 557 N Washington St , Janesville WI 53548-2907. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Sports Medicine is his primary health care specialty. Rutherford, Darin S can be contacted via phone (608) 754-6000.

Contact Information

Primary practice address
557 N Washington St Janesville WI 53548-2907
Phone: (608) 754-6000
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 38108 Wisconsin
Allopathic & Osteopathic Physicians / Sports Medicine 207QS0010X 38108 Wisconsin

Profile Details

NPI number 1770648123
LBN Legal business name Rutherford, Darin S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 26th, 2006
Last updated Sep 28th, 2011 - about 14 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 1770648123 NPPES
Wisconsin MEDICAID 32445000

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