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:
Health care specialties
Specialty | Code | License # | 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 2 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 | 1013912112 | NPPES |
Ohio | MEDICAID | 0316251 | |
Ohio | Other | 270347000 |
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