Cain, Rusty Lee

Cain, Rusty Lee is an sole proprietor health care provider with primary practice located at 1228 Country Club Rd , Fairmont WV 26554-2369. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot Surgery, which is considered as his primary health care specialty. Cain, Rusty Lee can be contacted via phone (304) 363-3338.

Contact Information

Primary practice address
1228 Country Club Rd Fairmont WV 26554-2369
Phone: (304) 363-3338
Fax: (304) 363-3359
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot Surgery 213ES0131X 00349 West Virginia

Profile Details

NPI number 1811908270
LBN Legal business name Cain, Rusty Lee
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 11th, 2006
Last updated Apr 12th, 2022 - about 2 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 1811908270 NPPES
West Virginia MEDICAID 6420007001

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