Rush, Demaretta Sickels

Rush, Demaretta Sickels is an individual health care provider with primary practice located at 1501 N Campbell Ave , Tucson AZ 85724-3003. She recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as her primary health care specialty. Rush, Demaretta Sickels can be contacted via phone (520) 626-8114.

Contact Information

Primary practice address
1501 N Campbell Ave Tucson AZ 85724-3003
Phone: (520) 626-8114
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X 54092 Arizona
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X ME86848 Florida

Profile Details

NPI number 1588607873
LBN Legal business name Rush, Demaretta Sickels
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 14th, 2006
Last updated Nov 21st, 2017 - about 7 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 1588607873 NPPES
Florida MEDICAID 269893500

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