Rodell E. Cruise, M.D., Ltd

LBN: Rodell E. Cruise, M.D., Ltd
Rodell E. Cruise, M.D., Ltd is an health care organization with primary practice located at 5570 Cougar Trail Rd , Dublin VA 24084-3849. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Rodell E. Cruise, M.D., Ltd can be contacted via phone (540) 674-9481, or through Cruise, Rodell E. via phone (540) 674-9481.

Contact Information

Primary practice address
5570 Cougar Trail Rd Dublin VA 24084-3849
Phone: (540) 674-9481
Fax: (540) 674-9548
Website:
Map and Directions
Authorized official contact:
Name: Cruise, Rodell E. Doctor of Medicine (MD)
Phone: (540) 674-9481

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 0101055267 Virginia

Profile Details

NPI number 1063600245
LBN Legal business name Rodell E. Cruise, M.D., Ltd
DBA Doing business as
Authorized official Cruise, Rodell E. Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 12th, 2007
Last updated Sep 17th, 2010 - about 14 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1063600245 NPPES
Virginia MEDICAID 005622093
Virginia Other 080180343

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