Kachmann, Rudy A.

Kachmann, Rudy A. is an individual health care provider with primary practice located at 7900 W Jefferson Blvd Ste 201 , Fort Wayne IN 46804-4128. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurological Surgery, which is considered as his primary health care specialty. Kachmann, Rudy A. can be contacted via phone (260) 432-2297.

Contact Information

Primary practice address
7900 W Jefferson Blvd Ste 201 Fort Wayne IN 46804-4128
Phone: (260) 432-2297
Fax: (260) 434-6420
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurological Surgery 207T00000X 01019778A Indiana

Profile Details

NPI number 1104823590
LBN Legal business name Kachmann, Rudy A.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 30th, 2005
Last updated Aug 14th, 2013 - about 12 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 1104823590 NPPES
Indiana Other 140001923 RR MEDICARE
Indiana MEDICAID 0128909 RR MEDICARE
Indiana MEDICAID 100096190 RR MEDICARE
Indiana MEDICAID 2745832 RR MEDICARE

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