Carr, David Ruddle
Carr, David Ruddle is an individual health care provider with primary practice located at 2825 Lyndhurst Ave Ste 101 , Winston Salem NC 27103-4146. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Carr, David Ruddle can be contacted via phone (336) 277-6300.Contact Information
Primary practice address
2825 Lyndhurst Ave Ste 101
Winston Salem NC 27103-4146
Phone: (336) 277-6300
Fax: (336) 277-6309
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Surgery | 208600000X | 34830 | North Carolina |
Profile Details
NPI number | 1881654663 |
---|---|
LBN Legal business name | Carr, David Ruddle |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Mar 24th, 2006 |
Last updated | Mar 7th, 2023 - about last year |
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 | 1881654663 | NPPES |
North Carolina | MEDICAID | 8921291 | |
North Carolina | Other | 34830 |
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