Rusk, Gary Dale

Rusk, Gary Dale is an sole proprietor health care provider with primary practice located at 3903 S 7Th St Suite 2D, Terre Haute IN 47802-5710. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Neurology. Allopathic & Osteopathic Physicians / Neurology is his primary health care specialty. Rusk, Gary Dale can be contacted via phone (812) 232-2100.

Contact Information

Primary practice address
3903 S 7Th St Suite 2D Terre Haute IN 47802-5710
Phone: (812) 232-2100
Fax: (812) 232-1980
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 01039496 Indiana
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 01039496 Indiana

Profile Details

NPI number 1962404632
LBN Legal business name Rusk, Gary Dale
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 12th, 2005
Last updated May 18th, 2022 - about 3 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 1962404632 NPPES
Indiana MEDICAID 200089010A

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