Johnstone, Rudolph Gordon
Johnstone, Rudolph Gordon is an individual health care provider with primary practice located at 48 Creekview Ct , Greenville SC 29615-4800. He recently has only one registered license in Allopathic & Osteopathic Physicians / Allergy & Immunology, which is considered as his primary health care specialty. Johnstone, Rudolph Gordon can be contacted via phone (864) 458-7431.Contact Information
Primary practice address
48 Creekview Ct
Greenville SC 29615-4800
Phone: (864) 458-7431
Fax: (864) 458-7463
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Allergy & Immunology | 207K00000X | 13617 | South Carolina |
| Allopathic & Osteopathic Physicians / Allergy & Immunology | 207K00000X | MD13617 | South Carolina |
Profile Details
| NPI number | 1710977962 |
|---|---|
| LBN Legal business name | Johnstone, Rudolph Gordon |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 27th, 2005 |
| Last updated | Oct 31st, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1710977962 | NPPES |
| South Carolina | MEDICAID | 136178 | |
| South Carolina | Other | D182976910 |
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