Rusakow, Lee Stuart

Rusakow, Lee Stuart is an individual health care provider with primary practice located at 4545 E 9Th Ave Suite 504, Denver CO 80220-3901. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Pulmonology, which is considered as his primary health care specialty. Rusakow, Lee Stuart can be contacted via phone (303) 831-9853.

Contact Information

Primary practice address
4545 E 9Th Ave Suite 504 Denver CO 80220-3901
Phone: (303) 831-9853
Fax: (303) 832-3533
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Pulmonology 2080P0214X 29525 Colorado

Profile Details

NPI number 1710973532
LBN Legal business name Rusakow, Lee Stuart
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 27th, 2005
Last updated Apr 5th, 2013 - about 12 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 1710973532 NPPES
West Virginia Other 2004704000 MEDICAID
West Virginia Other 64034978 MEDICAID
West Virginia MEDICAID 2252093 MEDICAID

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