Ruschke, Diane

Ruschke, Diane is an individual health care provider with primary practice located at 3580 W 9000 S , West Jordan UT 84088-8812. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medical Services, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Emergency Medicine is her primary health care specialty. Ruschke, Diane can be contacted via phone (801) 561-8888.

Contact Information

Primary practice address
3580 W 9000 S West Jordan UT 84088-8812
Phone: (801) 561-8888
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medical Services 207PE0004X 264333-1205 Utah
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 264333-1205 Utah

Profile Details

NPI number 1780617936
LBN Legal business name Ruschke, Diane
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 9th, 2006
Last updated May 4th, 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 1780617936 NPPES
Utah MEDICAID D0267

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