Rusk, Gregory Sheldon

Rusk, Gregory Sheldon is an sole proprietor health care provider with primary practice located at 1117 Fehl Ln , Cincinnati OH 45230-4349. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Rusk, Gregory Sheldon can be contacted via phone (513) 260-8825.

Contact Information

Primary practice address
1117 Fehl Ln Cincinnati OH 45230-4349
Phone: (513) 260-8825
Fax: (513) 832-2993
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X I 580 Ohio
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X F 092 Ohio
Behavioral Health & Social Service Providers / Clinical 1041C0700X I.0000580-SUPV Ohio

Profile Details

NPI number 1013912112
LBN Legal business name Rusk, Gregory Sheldon
Credentials LISW
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 15th, 2005
Last updated Jul 11th, 2023 - 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 1013912112 NPPES
Ohio MEDICAID 0316251
Ohio Other 270347000

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