Rusk, David Allen

Rusk, David Allen is an individual health care provider with primary practice located at 7910 W Jefferson Blvd Suite 201, Fort Wayne IN 46804-4159. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Rusk, David Allen can be contacted via phone (260) 436-3789.

Contact Information

Primary practice address
7910 W Jefferson Blvd Suite 201 Fort Wayne IN 46804-4159
Fax: (260) 436-2703
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 01042829A Indiana

Profile Details

NPI number 1982601464
LBN Legal business name Rusk, David Allen
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 30th, 2005
Last updated Apr 22nd, 2008 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1982601464 NPPES
Indiana MEDICAID 200030960

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