Roussalis, Louis John
Roussalis, Louis John is an sole proprietor health care provider with primary practice located at 1129 E 2Nd St , Casper WY 82601-2903. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Roussalis, Louis John can be contacted via phone (307) 234-4585.Contact Information
Primary practice address
1129 E 2Nd St
Casper WY 82601-2903
Phone: (307) 234-4585
Fax: (307) 265-7479
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 1921A | Wyoming |
Profile Details
| NPI number | 1376557355 |
|---|---|
| LBN Legal business name | Roussalis, Louis John |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 28th, 2006 |
| Last updated | Jul 8th, 2007 - about 18 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1376557355 | NPPES |
| Wyoming | Other | 301920 | BLUE CROSS BLUE SHIELD |
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