Rodeberg, David Anthony

Rodeberg, David Anthony is an individual health care provider with primary practice located at 517 Moye Blvd , Greenville NC 27834-2849. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Surgery, which is considered as his primary health care specialty. Rodeberg, David Anthony can be contacted via phone (252) 744-2832.

Contact Information

Primary practice address
517 Moye Blvd Greenville NC 27834-2849
Phone: (252) 744-2832
Fax: (252) 744-3457
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Surgery 2086S0120X MD429509 Pennsylvania
Allopathic & Osteopathic Physicians / Pediatric Surgery 2086S0120X TP683 Kentucky
Allopathic & Osteopathic Physicians / Pediatric Surgery 2086S0120X 2010-00640 North Carolina

Profile Details

NPI number 1124120290
LBN Legal business name Rodeberg, David Anthony
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 1st, 2006
Last updated Apr 5th, 2022 - about 3 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 1124120290 NPPES
North Carolina MEDICAID 5914874
North Carolina Other 158YP

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