Rusczek, Jacob Robert

Rusczek, Jacob Robert is an sole proprietor health care provider with primary practice located at 301 River St Ste 204 , Montpelier VT 05602-4303. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Rusczek, Jacob Robert can be contacted via phone (802) 552-0548.

Contact Information

Primary practice address
301 River St Ste 204 Montpelier VT 05602-4303
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 048.0121887 Vermont

Profile Details

NPI number 1932622461
LBN Legal business name Rusczek, Jacob Robert
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 17th, 2017
Last updated Jul 17th, 2017 - about 9 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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