Debonis, Ruselle Sue

Debonis, Ruselle Sue is an individual health care provider with primary practice located at 1015 S Hackett Rd , Waterloo IA 50701. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Debonis, Ruselle Sue can be contacted via phone (319) 274-1000.

Contact Information

Primary practice address
1015 S Hackett Rd Waterloo IA 50701
Phone: (319) 274-1000
Fax: (319) 292-6526
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X A059613 Iowa

Profile Details

NPI number 1275511230
LBN Legal business name Debonis, Ruselle Sue
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 9th, 2006
Last updated Jun 24th, 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 1275511230 NPPES
Iowa Other 29120 BC/BS
Iowa MEDICAID 1275511230 BC/BS
Iowa Other P00819155 BC/BS
Iowa Other 42137207611 BC/BS

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