Rathbun, John Dale
Rathbun, John Dale is an individual health care provider with primary practice located at 11700 Mercy Blvd Plaza D, Savannah GA 31419-1753. He recently has only one registered license in Allopathic & Osteopathic Physicians / Interventional Cardiology, which is considered as his primary health care specialty. Rathbun, John Dale can be contacted via phone (912) 961-8647.Contact Information
Primary practice address
11700 Mercy Blvd Plaza D
Savannah GA 31419-1753
Phone: (912) 961-8647
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Interventional Cardiology | 207RI0011X | 23665 | Georgia |
Profile Details
NPI number | 1093788192 |
---|---|
LBN Legal business name | Rathbun, John Dale |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Feb 9th, 2006 |
Last updated | Nov 27th, 2012 - 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1093788192 | NPPES |
Georgia | MEDICAID | 002518091 | |
Georgia | Other | 060052301 |
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