Wilson, Rusty J
Wilson, Rusty J is an sole proprietor health care provider with primary practice located at 10710 N Torrey Pines Rd , La Jolla CA 92037-1035. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Surgical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty. Wilson, Rusty J can be contacted via phone (858) 554-8080.Contact Information
Primary practice address
10710 N Torrey Pines Rd
La Jolla CA 92037-1035
Phone: (858) 554-8080
Fax: (858) 554-8231
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Surgical | 363AS0400X | PA59998 | California |
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | PA59998 | California |
Profile Details
| NPI number | 1336751395 |
|---|---|
| LBN Legal business name | Wilson, Rusty J |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 20th, 2020 |
| Last updated | Sep 16th, 2021 - about 3 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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