Beverly-Rudisel, Nettie Yvette

Beverly-Rudisel, Nettie Yvette is an individual health care provider with primary practice located at 1401 Matthews Township Pkwy Suite 200, Matthews NC 28105-5402. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Beverly-Rudisel, Nettie Yvette can be contacted via phone (704) 384-6901.

Contact Information

Primary practice address
1401 Matthews Township Pkwy Suite 200 Matthews NC 28105-5402
Phone: (704) 384-6901
Fax: (704) 384-6902
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 33943 North Carolina

Profile Details

NPI number 1598747388
LBN Legal business name Beverly-Rudisel, Nettie Yvette
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 17th, 2005
Last updated Oct 28th, 2020 - about 4 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 1598747388 NPPES
South Carolina MEDICAID N33943
South Carolina MEDICAID 8973843

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