Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JAY T RUST JR., PA
ActiveJAY T RUST JR., PA is a Physician Assistant healthcare provider located in NEW LONDON, Wisconsin. NPI 1710185186 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · NEW LONDON, WI
Registration Details
- NPI Number
- 1710185186
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 6, 2007 (19.080289887453 yrs)
- Last Updated
- Jul 8, 2007
- License
-
2162-023 (WI)
Practice Information
- Address
-
1405 MILL STNEW LONDON, WI, 549612155Browse WI providers · Browse ZIP 54961
- Phone
- 9205312400
- Fax
- 9205312463
- Primary Specialty
-
Physician Assistant
363A00000X
Other Physician Assistant Providers in NEW LONDON, WI
| Name | Credential | NPI |
|---|---|---|
| CAROLYN ZABOR | PA | 1992722946 |
| TEASHA L KAEPERNICK | PA | 1922014406 |
| BROOKE BIRLING | PA | 1063619336 |
| JAMES J TULJUS | PA C | 1558834788 |
| RACHEL K BRADLEY | PA-C | 1558254755 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.