Rodulfo, Damien Jude

Rodulfo, Damien Jude is an individual health care provider with primary practice located at 2105 W Cornwallis Dr Ste C A, Greensboro NC 27408-7098. He recently has only one registered license in Chiropractic Providers / Sports Physician, which is considered as his primary health care specialty. Rodulfo, Damien Jude can be contacted via phone (336) 235-4530.

Contact Information

Primary practice address
2105 W Cornwallis Dr Ste C A Greensboro NC 27408-7098
Phone: (336) 235-4530
Fax: (336) 235-0754
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Sports Physician 111NS0005X 3242 North Carolina

Profile Details

NPI number 1407838675
LBN Legal business name Rodulfo, Damien Jude
Credentials DC, CCSP
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 15th, 2005
Last updated Apr 6th, 2017 - about 7 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 1407838675 NPPES
North Carolina Other 085UR BCBS NUMBER
North Carolina MEDICAID 89085UR BCBS NUMBER

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