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
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1831102276 NPPES
Other 1831102276 ANTHEM
Other 1831102276 ANTHEM
Other 1861562472 ANTHEM
MEDICAID 1861562472 ANTHEM

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