Rust, Mary

Rust, Mary is an sole proprietor health care provider with primary practice located at 81 W Kraft Rd , West Saint Paul MN 55118-3816. She recently has only one registered license in Other Service Providers / Contractor, which is considered as her primary health care specialty. Rust, Mary can be contacted via phone (651) 600-9826.

Contact Information

Primary practice address
81 W Kraft Rd West Saint Paul MN 55118-3816
Phone: (651) 600-9826
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Contractor 171W00000X 100577 Minnesota
Other Service Providers / Contractor 171W00000X OT 60446052 Washington
Other Service Providers / Contractor 171W00000X OTR2691 Arkansas

Profile Details

NPI number 1013335132
LBN Legal business name Rust, Mary
Credentials Occupational Therapist (OT)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 5th, 2014
Last updated Apr 5th, 2014 - about 10 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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Identifiers

StateTypeNumberIssuer
All States NPI 1013335132 NPPES
Washington Other OT 60446052 OCCUPATIONAL THERAPY LICENSE
Washington Other OTR2691 OCCUPATIONAL THERAPY LICENSE
Washington Other 100577 OCCUPATIONAL THERAPY LICENSE

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