Cruz, Rafael F

Cruz, Rafael F is an sole proprietor health care provider with primary practice located at 405 E Court Ave Ste 102 , Jeffersonville IN 47130-3474. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medical Services, which is considered as his primary health care specialty. Cruz, Rafael F can be contacted via phone (812) 913-4416.

Contact Information

Primary practice address
405 E Court Ave Ste 102 Jeffersonville IN 47130-3474
Phone: (812) 913-4416
Fax: (812) 213-8409
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medical Services 207PE0004X 37305 Kentucky
Allopathic & Osteopathic Physicians / Emergency Medical Services 207PE0004X 60939143 Washington
Allopathic & Osteopathic Physicians / Emergency Medical Services 207PE0004X 01046661A Indiana

Profile Details

NPI number 1588620207
LBN Legal business name Cruz, Rafael F
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 21st, 2006
Last updated May 2nd, 2022 - about 2 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 1588620207 NPPES
Indiana Other P00319187 RAILROAD MEDICARE

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