Ceballos, Rodolfo Baura

Ceballos, Rodolfo Baura is an individual health care provider with primary practice located at 1122 Culbert Drive , Marion VA 24354-4212. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / General Practice. Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. Ceballos, Rodolfo Baura can be contacted via phone (276) 783-7914.

Contact Information

Primary practice address
1122 Culbert Drive Marion VA 24354-4212
Phone: (276) 783-7914
Fax: (276) 783-1882
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 0101024299 Virginia
Allopathic & Osteopathic Physicians / General Practice 208D00000X 0101024299 Virginia

Profile Details

NPI number 1578654448
LBN Legal business name Ceballos, Rodolfo Baura
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 27th, 2006
Last updated Jul 8th, 2007 - about 18 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 1578654448 NPPES
Virginia Other 062952 ANTHEM

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