Rutkowski, Jack

Rutkowski, Jack is an individual health care provider with primary practice located at 4400 Rockside Rd Suite 2100, Independence OH 44131-2109. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Rutkowski, Jack can be contacted via phone (216) 573-1300.

Contact Information

Primary practice address
4400 Rockside Rd Suite 2100 Independence OH 44131-2109
Phone: (216) 573-1300
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 35-088270 Ohio

Profile Details

NPI number 1073602520
LBN Legal business name Rutkowski, Jack
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 12th, 2006
Last updated Sep 16th, 2020 - about 5 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 1073602520 NPPES
Ohio Other 000000590092 ANTHEM BLUE SHIELD
Ohio Other T88270 ANTHEM BLUE SHIELD
Ohio MEDICAID 2698540 ANTHEM BLUE SHIELD
Ohio Other 000000500020 ANTHEM BLUE SHIELD
Ohio Other 745390 ANTHEM BLUE SHIELD

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