Rusich, Margo

Rusich, Margo is an individual health care provider with primary practice located at 100 Hospital Ave , Du Bois PA 15801-1440. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Rusich, Margo can be contacted via phone (814) 371-2200.

Contact Information

Primary practice address
100 Hospital Ave Du Bois PA 15801-1440
Phone: (814) 371-2200
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X MA055852 Pennsylvania
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X OA002955 Pennsylvania

Profile Details

NPI number 1700121258
LBN Legal business name Rusich, Margo
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 10th, 2012
Last updated Jan 17th, 2024 - about last year

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 1700121258 NPPES
Pennsylvania MEDICAID 103159476
Pennsylvania Other 859972

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