Freeman, Rudolph
Freeman, Rudolph is an individual health care provider with primary practice located at 11818 Rock Landing Dr Ste 101 , Newport News VA 23606-4394. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Geriatric Psychiatry, Allopathic & Osteopathic Physicians / Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is his primary health care specialty. Freeman, Rudolph can be contacted via phone (757) 595-3900.Contact Information
Primary practice address
11818 Rock Landing Dr Ste 101
Newport News VA 23606-4394
Phone: (757) 595-3900
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Geriatric Psychiatry | 2084P0805X | 0101033070 | Virginia |
Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 0101033070 | Virginia |
Profile Details
NPI number | 1831102276 |
---|---|
LBN Legal business name | Freeman, Rudolph |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Aug 15th, 2006 |
Last updated | Nov 21st, 2019 - about 5 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 | 1831102276 | NPPES |
Other | 1831102276 | ANTHEM | |
Other | 1831102276 | ANTHEM | |
Other | 1861562472 | ANTHEM | |
MEDICAID | 1861562472 | ANTHEM |
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