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:
Health care specialties
| Specialty | Code | License # | 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 9 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1871855072 | NPPES |
| Arizona | MEDICAID | 756430 | |
| Arizona | Other | Z90122 | |
| Arizona | Other | 106567 |
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