Rust, Robert Edward

Rust, Robert Edward is an sole proprietor health care provider with primary practice located at 1301 N Division Ave , Sandpoint ID 83864-8268. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Addiction Medicine. Allopathic & Osteopathic Physicians / Addiction Medicine is his primary health care specialty. Rust, Robert Edward can be contacted via phone (208) 263-1345.

Contact Information

Primary practice address
1301 N Division Ave Sandpoint ID 83864-8268
Phone: (208) 263-1345
Fax: (208) 255-5531
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X M3004 Idaho
Allopathic & Osteopathic Physicians / Addiction Medicine 207QA0401X M-3004 Idaho

Profile Details

NPI number 1437214202
LBN Legal business name Rust, Robert Edward
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 22nd, 2006
Last updated Oct 17th, 2013 - about 11 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 1437214202 NPPES
Idaho MEDICAID 112500019

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