Rustmann, Walter Clifford

Rustmann, Walter Clifford is an individual health care provider with primary practice located at 1005 Mar Walt Drive Pulmonology Department, Fort Walton Beach FL 32547-6796. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Rustmann, Walter Clifford can be contacted via phone (850) 243-0118.

Contact Information

Primary practice address
1005 Mar Walt Drive Pulmonology Department Fort Walton Beach FL 32547-6796
Phone: (850) 243-0118
Fax: (850) 243-0594
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X OS13675 Florida
Allopathic & Osteopathic Physicians / Critical Care Medicine 207RC0200X OS13675 Florida
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X M0250 Texas
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X OS13675 Florida

Profile Details

NPI number 1235116054
LBN Legal business name Rustmann, Walter Clifford
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 22nd, 2005
Last updated Jan 16th, 2017 - about 7 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 1235116054 NPPES
Florida MEDICAID 016163500
Florida Other C8Z9V

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