Rusley, Jack

Rusley, Jack is an individual health care provider with primary practice located at 1 Hoppin St Ste 305 , Providence RI 02903-4141. He recently has only one registered license in Allopathic & Osteopathic Physicians / Adolescent Medicine, which is considered as his primary health care specialty. Rusley, Jack can be contacted via phone (401) 444-5980.

Contact Information

Primary practice address
1 Hoppin St Ste 305 Providence RI 02903-4141
Phone: (401) 444-5980
Fax: (401) 444-3873
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Adolescent Medicine 2080A0000X MD15912 Rhode Island

Profile Details

NPI number 1639499395
LBN Legal business name Rusley, Jack
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 4th, 2010
Last updated Jul 21st, 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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