Ruzevich, Michael Alan

Ruzevich, Michael Alan is an sole proprietor health care provider with primary practice located at 447 S Whittaker St , New Buffalo MI 49117-1763. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Ruzevich, Michael Alan can be contacted via phone (844) 214-4446.

Contact Information

Primary practice address
447 S Whittaker St New Buffalo MI 49117-1763
Fax: (800) 430-2202
Website:

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 051031138 Illinois
Pharmacy Service Providers / Pharmacist 183500000X 26022851A Indiana
Pharmacy Service Providers / Pharmacist 183500000X 5302038751 Michigan

Profile Details

NPI number 1043835945
LBN Legal business name Ruzevich, Michael Alan
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 16th, 2020
Last updated Jun 16th, 2020 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1043835945 NPPES
Illinois Other 051031138 PHARMACIST LICENSE
Illinois Other 26022851A PHARMACIST LICENSE
Illinois Other 5302038751 PHARMACIST LICENSE

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