Burress, Rusty

Burress, Rusty is an individual health care provider with primary practice located at 1901 Connecticut Ave S , Sartell MN 56377. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Burress, Rusty can be contacted via phone (320) 259-4100.

Contact Information

Primary practice address
1901 Connecticut Ave S Sartell MN 56377
Phone: (320) 259-4100
Fax: (320) 259-8044
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 9618 Minnesota

Profile Details

NPI number 1851337299
LBN Legal business name Burress, Rusty
Credentials P.A.C.
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 22nd, 2006
Last updated Jul 20th, 2010 - 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 1851337299 NPPES
Minnesota MEDICAID 046650600

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