Rust, Austin R
Rust, Austin R is an individual health care provider with primary practice located at 202 E Montclair St Apt. 3A, Springfield MO 65807-7911. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Rust, Austin R can be contacted via phone (417) 343-9651.Contact Information
Primary practice address
202 E Montclair St Apt. 3A
Springfield MO 65807-7911
Phone: (417) 343-9651
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 012262 | Missouri |
Profile Details
| NPI number | 1407844327 |
|---|---|
| LBN Legal business name | Rust, Austin R |
| Credentials | DMD MPA |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 13th, 2005 |
| Last updated | Dec 4th, 2013 - about 12 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 | 1407844327 | NPPES |
| Missouri | MEDICAID | 400035531 |
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