Rust, Darrell

Rust, Darrell is an individual health care provider with primary practice located at 2701 17Th St , Rock Island IL 61201-5351. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Rust, Darrell can be contacted via phone (309) 779-5000.

Contact Information

Primary practice address
2701 17Th St Rock Island IL 61201-5351
Phone: (309) 779-5000
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 336.033013 Illinois
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 036069017 Illinois

Profile Details

NPI number 1811960933
LBN Legal business name Rust, Darrell
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 9th, 2006
Last updated Feb 12th, 2024 - about 10 months 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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Identifiers

StateTypeNumberIssuer
All States NPI 1811960933 NPPES
Other IL0181 JOHN DEERE
MEDICAID 036069017001 JOHN DEERE
Other P00287227 JOHN DEERE
Other 93211 JOHN DEERE
Other 036069017001 JOHN DEERE
Other 93234 JOHN DEERE

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