Rusterholz, Jill Harriet
Rusterholz, Jill Harriet is an individual health care provider with primary practice located at 6565 France Ave S Suite 200, Edina MN 55435-2137. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Rusterholz, Jill Harriet can be contacted via phone (952) 806-0011.Contact Information
Primary practice address
6565 France Ave S Suite 200
Edina MN 55435-2137
Phone: (952) 806-0011
Fax: (952) 806-9741
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Other Service Providers / Specialist | 174400000X | 25083 | Minnesota |
Profile Details
NPI number | 1154325942 |
---|---|
LBN Legal business name | Rusterholz, Jill Harriet |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 9th, 2005 |
Last updated | Mar 7th, 2016 - about 8 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 | 1154325942 | NPPES |
Minnesota | MEDICAID | 605307600 |
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