Rysso, Laura N

Rysso, Laura N is an individual health care provider with primary practice located at 104 S Lakeview Ave , Sturgis MI 49091-1947. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Rysso, Laura N can be contacted via phone (269) 319-8850.

Contact Information

Primary practice address
104 S Lakeview Ave Sturgis MI 49091-1947
Fax: (269) 464-0101
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 4704254580 Michigan
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 209.010455 Illinois

Profile Details

NPI number 1093156010
LBN Legal business name Rysso, Laura N
Credentials FNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 8th, 2013
Last updated Oct 1st, 2020 - about 5 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 1093156010 NPPES
Illinois Other 041357228 DEPT OF FINANCIAL AND PROF REGULATION
Illinois Other 209.010455 DEPT OF FINANCIAL AND PROF REGULATION

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