Rusiecki, Thaddus
Rusiecki, Thaddus is an individual health care provider with primary practice located at 2602 Cranberry Square , Morgantown WV 26505. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Rusiecki, Thaddus can be contacted via phone (304) 594-1515.Contact Information
Primary practice address
2602 Cranberry Square
Morgantown WV 26505
Phone: (304) 594-1515
Fax: (304) 594-0785
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | 3260-108 | West Virginia |
Profile Details
| NPI number | 1437184496 |
|---|---|
| LBN Legal business name | Rusiecki, Thaddus |
| Credentials | D.D.S. PLLC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 11th, 2006 |
| Last updated | Sep 6th, 2011 - about 13 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 | 1437184496 | NPPES |
| West Virginia | Other | WV00411 | HELATH PLAN PROVIDER NUMB |
| West Virginia | Other | 000916438 | HELATH PLAN PROVIDER NUMB |
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