Rustvold, Alicia

Rustvold, Alicia is an sole proprietor health care provider with primary practice located at 84 Eatondale Ave , Blue Point NY 11715-1026. She recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as her primary health care specialty. Rustvold, Alicia can be contacted via phone (631) 682-0498.

Contact Information

Primary practice address
84 Eatondale Ave Blue Point NY 11715-1026
Phone: (631) 682-0498
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X 260421 New York

Profile Details

NPI number 1982078036
LBN Legal business name Rustvold, Alicia
Credentials Licensed Practical Nurse (LPN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 30th, 2015
Last updated Nov 30th, 2015 - about 9 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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