Rustom, Dennis M
Rustom, Dennis M is an individual health care provider with primary practice located at 20 Rock Pointe Ln , Warrenton VA 20186-2679. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Rustom, Dennis M can be contacted via phone (540) 347-9900.Contact Information
Primary practice address
20 Rock Pointe Ln
Warrenton VA 20186-2679
Phone: (540) 347-9900
Fax: (540) 349-0920
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 0101054293 | Virginia |
Profile Details
| NPI number | 1497720361 |
|---|---|
| LBN Legal business name | Rustom, Dennis M |
| Credentials | M.D., F.A.A.P. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 22nd, 2006 |
| Last updated | Apr 4th, 2011 - about 13 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 | 1497720361 | NPPES |
| Virginia | MEDICAID | 010027438 |
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