Rushovich, Alan Michael
Rushovich, Alan Michael is an sole proprietor health care provider with primary practice located at 15375 Barranca Pkwy Ste H-105, Irvine CA 92618-2209. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Rushovich, Alan Michael can be contacted via phone (949) 387-8111.Contact Information
Primary practice address
15375 Barranca Pkwy Ste H-105
Irvine CA 92618-2209
Phone: (949) 387-8111
Fax: (949) 387-6163
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | A42199 | California |
Profile Details
| NPI number | 1629075882 |
|---|---|
| LBN Legal business name | Rushovich, Alan Michael |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 2nd, 2005 |
| Last updated | Jan 3rd, 2014 - about 11 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 | 1629075882 | NPPES |
| California | MEDICAID | 00A421990 | |
| California | MEDICAID | GR0057490 |
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