Dudrick, Paul S
Dudrick, Paul S is an individual health care provider with primary practice located at 1819 W Clinch Ave Ste 200 , Knoxville TN 37916-2435. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Surgical Oncology. Allopathic & Osteopathic Physicians / Surgical Oncology is his primary health care specialty. Dudrick, Paul S can be contacted via phone (865) 524-3695.Contact Information
Primary practice address
1819 W Clinch Ave Ste 200
Knoxville TN 37916-2435
Phone: (865) 524-3695
Fax: (865) 602-3528
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | MD29501 | Tennessee |
| Allopathic & Osteopathic Physicians / Surgical Oncology | 2086X0206X | MD29501 | Tennessee |
Profile Details
| NPI number | 1710070479 |
|---|---|
| LBN Legal business name | Dudrick, Paul S |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 2nd, 2006 |
| Last updated | Oct 10th, 2013 - about 11 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 | 1710070479 | NPPES |
| Tennessee | MEDICAID | 3811235 |
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