Rust, Cuchulain Luke
Rust, Cuchulain Luke is an individual health care provider with primary practice located at 200 Ne Mother Joseph Pl Suite 210, Vancouver WA 98664-3299. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Foot and Ankle Surgery. Allopathic & Osteopathic Physicians / Orthopaedic Surgery is his primary health care specialty. Rust, Cuchulain Luke can be contacted via phone (360) 254-6161.Contact Information
Primary practice address
200 Ne Mother Joseph Pl Suite 210
Vancouver WA 98664-3299
Phone: (360) 254-6161
Fax: (360) 449-1139
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | MD 60320264 | Washington |
Allopathic & Osteopathic Physicians / Foot and Ankle Surgery | 207XX0004X | MD 60320264 | Washington |
Profile Details
NPI number | 1770795262 |
---|---|
LBN Legal business name | Rust, Cuchulain Luke |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | May 4th, 2007 |
Last updated | Dec 11th, 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 | 1770795262 | NPPES |
Washington | MEDICAID | 1770795262 |
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