Powell, Donald Rubertino

Powell, Donald Rubertino is an individual health care provider with primary practice located at 550 Peachtree St Ne Ste 1615, Atlanta GA 30308-2212. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as his primary health care specialty. Powell, Donald Rubertino can be contacted via phone (678) 702-0620.

Contact Information

Primary practice address
550 Peachtree St Ne Ste 1615 Atlanta GA 30308-2212
Phone: (678) 702-0620
Fax: (678) 702-0621
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X POD00135 Georgia
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X PO3482 Florida

Profile Details

NPI number 1578869046
LBN Legal business name Powell, Donald Rubertino
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 1st, 2011
Last updated Dec 3rd, 2015 - about 9 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 1578869046 NPPES
Georgia MEDICAID 003131663C
Georgia Other 202I487348
Georgia MEDICAID 003131663B
Georgia MEDICAID 003131663A

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