Ustruck, Rachael Elizabeth

Ustruck, Rachael Elizabeth is an individual health care provider with primary practice located at 1200 W 12 Mile Rd , Madison Heights MI 48071-4439. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Ustruck, Rachael Elizabeth can be contacted via phone (248) 543-0600.

Contact Information

Primary practice address
1200 W 12 Mile Rd Madison Heights MI 48071-4439
Phone: (248) 543-0600
Fax: (248) 543-4720
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 5101017009 Michigan

Profile Details

NPI number 1467574541
LBN Legal business name Ustruck, Rachael Elizabeth
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 6th, 2007
Last updated Sep 6th, 2012 - about 12 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 1467574541 NPPES
Michigan MEDICAID 1467574541

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