Yarusso, James Nicholas

Yarusso, James Nicholas is an individual health care provider with primary practice located at 4824 E Baseline Rd Suite 140, Mesa AZ 85206-4678. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Occupational Medicine, Allopathic & Osteopathic Physicians / Geriatric Medicine, Allopathic & Osteopathic Physicians / General Practice. Allopathic & Osteopathic Physicians / General Practice is his primary health care specialty. Yarusso, James Nicholas can be contacted via phone (480) 969-4040.

Contact Information

Primary practice address
4824 E Baseline Rd Suite 140 Mesa AZ 85206-4678
Phone: (480) 969-4040
Fax: (480) 830-1042
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Occupational Medicine 2083X0100X 31732 Arizona
Allopathic & Osteopathic Physicians / Geriatric Medicine 207RG0300X 31732 Arizona
Allopathic & Osteopathic Physicians / General Practice 208D00000X 31732 Arizona

Profile Details

NPI number 1871855072
LBN Legal business name Yarusso, James Nicholas
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 13th, 2012
Last updated Jan 11th, 2016 - about 8 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 1871855072 NPPES
Arizona MEDICAID 756430
Arizona Other Z90122
Arizona Other 106567

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