Dudley, Donald R.

Dudley, Donald R. is an individual health care provider with primary practice located at 90 Erie Canal Dr Suite D, Rochester NY 14626-4601. He recently has only one registered license in Chiropractic Providers / Sports Physician, which is considered as his primary health care specialty. Dudley, Donald R. can be contacted via phone (585) 225-6430.

Contact Information

Primary practice address
90 Erie Canal Dr Suite D Rochester NY 14626-4601
Phone: (585) 225-6430
Fax: (585) 225-9636
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Sports Physician 111NS0005X X009170 New York

Profile Details

NPI number 1033145115
LBN Legal business name Dudley, Donald R.
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 23rd, 2006
Last updated Sep 6th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1033145115 NPPES
New York Other C09170-4 WORKERS COMP

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