Roussalis, John L

Roussalis, John L is an sole proprietor health care provider with primary practice located at 537 Stanton Christiana Rd , Newark DE 19713-2146. He recently has only one registered license in Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery, which is considered as his primary health care specialty. Roussalis, John L can be contacted via phone (302) 633-7550.

Contact Information

Primary practice address
537 Stanton Christiana Rd Newark DE 19713-2146
Phone: (302) 633-7550
Fax: (302) 633-7556
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery 2086S0122X MD426938 Pennsylvania

Profile Details

NPI number 1235252669
LBN Legal business name Roussalis, John L
Credentials M.D.PC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 9th, 2007
Last updated Jun 23rd, 2021 - about 3 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 1235252669 NPPES
Wyoming MEDICAID 127068100
Wyoming Other W21591

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