Rustin, Corey D

Rustin, Corey D is an individual health care provider with primary practice located at 1814 Westchester Dr Ste 301, High Point NC 27262-7299. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as his primary health care specialty. Rustin, Corey D can be contacted via phone (336) 802-2025.

Contact Information

Primary practice address
1814 Westchester Dr Ste 301 High Point NC 27262-7299
Phone: (336) 802-2025
Fax: (336) 802-2026
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 01113 North Carolina
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 5001113 North Carolina

Profile Details

NPI number 1730146044
LBN Legal business name Rustin, Corey D
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 28th, 2006
Last updated Mar 9th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1730146044 NPPES
North Carolina Other 1212660004 DME
North Carolina MEDICAID 7004782 DME

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