Medina, Rudy Tom

Medina, Rudy Tom is an individual health care provider with primary practice located at 100 Medical Heights Dr , Morganton NC 28655-5197. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Medina, Rudy Tom can be contacted via phone (828) 433-4484.

Contact Information

Primary practice address
100 Medical Heights Dr Morganton NC 28655-5197
Phone: (828) 433-4484
Fax: (828) 433-4487
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 9700106 North Carolina

Profile Details

NPI number 1083610513
LBN Legal business name Medina, Rudy Tom
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 21st, 2005
Last updated Apr 14th, 2011 - about 13 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 1083610513 NPPES
North Carolina Other 73943 MEDCOST
North Carolina MEDICAID 891019H MEDCOST
North Carolina Other 1019H MEDCOST
North Carolina Other 4455597 MEDCOST
North Carolina Other 12 41243 MEDCOST

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