Poole, Joseph Rustin

Poole, Joseph Rustin is an individual health care provider with primary practice located at 1250 Vernonview Dr Medical Department, Mount Vernon OH 43050-1447. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Poole, Joseph Rustin can be contacted via phone (174) 039-3635.

Contact Information

Primary practice address
1250 Vernonview Dr Medical Department Mount Vernon OH 43050-1447
Fax: (174) 074-0393
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 35047433P Ohio

Profile Details

NPI number 1710041645
LBN Legal business name Poole, Joseph Rustin
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 22nd, 2006
Last updated Jul 8th, 2007 - about 17 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 1710041645 NPPES
Ohio MEDICAID 0931782

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