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Contact Information

JERRY RUSHING
6301 FATHER TRIBOU ST
LITTLE ROCK, AR72205-3003
 Phone: 501-372-4614
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Addiction (Substance Use Disorder)

101YA0400X
Indicates primary specialty

NPI Profile & details for JERRY RUSHING · (Male)

NPI # 1871158469
Status Active
Credentials
Entity Individual
Enumeration date 05/08/2019
Last updated 05/08/2019 - About 7 years ago
Sole proprietor 1 No
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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