Rusyniak, Daniel E
Rusyniak, Daniel E is an individual health care provider with primary practice located at 1001 W 10Th St , Indianapolis IN 46202-2859. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Medical Toxicology, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Emergency Medicine is his primary health care specialty. Rusyniak, Daniel E can be contacted via phone (317) 630-7276.Contact Information
Primary practice address
1001 W 10Th St
Indianapolis IN 46202-2859
Phone: (317) 630-7276
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Medical Toxicology | 207PT0002X | 01047125A | Indiana |
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 01047125A | Indiana |
Profile Details
| NPI number | 1841309739 |
|---|---|
| LBN Legal business name | Rusyniak, Daniel E |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 30th, 2006 |
| Last updated | Feb 4th, 2021 - about 4 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 | 1841309739 | NPPES |
| Indiana | MEDICAID | 200159850 | |
| Indiana | Other | 000000205421 |
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