Rusin, Edward Baxter
Rusin, Edward Baxter is an individual health care provider with primary practice located at 7009 Crystal Springs Road , Crystal Lake IL 60012-1154. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Rusin, Edward Baxter can be contacted via phone (815) 455-7333.Contact Information
Primary practice address
7009 Crystal Springs Road
Crystal Lake IL 60012-1154
Phone: (815) 455-7333
Fax: (815) 477-0821
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | Illinois |
Profile Details
| NPI number | 1235278342 |
|---|---|
| LBN Legal business name | Rusin, Edward Baxter |
| Credentials | PHD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 5th, 2007 |
| Last updated | Jul 8th, 2007 - about 17 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 | 1235278342 | NPPES |
| Illinois | Other | 5672007 | BC BS |
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