Provider Demographics
NPI:1679997241
Name:RSSK, PLC
Entity type:Organization
Organization Name:RSSK, PLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JOEL
Authorized Official - Middle Name:
Authorized Official - Last Name:ANHALT
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:231-889-7030
Mailing Address - Street 1:PO BOX 337
Mailing Address - Street 2:
Mailing Address - City:ARCADIA
Mailing Address - State:MI
Mailing Address - Zip Code:49613
Mailing Address - Country:US
Mailing Address - Phone:231-889-7030
Mailing Address - Fax:231-889-7032
Practice Address - Street 1:3268 LAKE ST
Practice Address - Street 2:
Practice Address - City:ARCADIA
Practice Address - State:MI
Practice Address - Zip Code:49613
Practice Address - Country:US
Practice Address - Phone:231-889-7030
Practice Address - Fax:231-889-7032
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-02-18
Last Update Date:2014-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty