Carbaugh, Rudy A.
Carbaugh, Rudy A. is an individual health care provider with primary practice located at 1000 E Mountain Blvd , Wilkes Barre PA 18711-0027. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hospitalist, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatrics is his primary health care specialty. Carbaugh, Rudy A. can be contacted via phone (570) 808-7333.Contact Information
Primary practice address
1000 E Mountain Blvd
Wilkes Barre PA 18711-0027
Phone: (570) 808-7333
Fax: (570) 808-7325
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | MD424521 | Pennsylvania |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | MD424521 | Pennsylvania |
Profile Details
| NPI number | 1356316285 |
|---|---|
| LBN Legal business name | Carbaugh, Rudy A. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 22nd, 2006 |
| Last updated | Jul 16th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1356316285 | NPPES |
| Pennsylvania | MEDICAID | 1010097470001 |
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