Rouder Dpm, Richard

Rouder Dpm, Richard is an individual health care provider with primary practice located at 1500 Victory Blvd , Staten Island NY 10301-3912. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot Surgery, which is considered as his primary health care specialty. Rouder Dpm, Richard can be contacted via phone (178) 556-5550.

Contact Information

Primary practice address
1500 Victory Blvd Staten Island NY 10301-3912
Phone: (178) 556-5550
Fax: (718) 273-3232
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot Surgery 213ES0131X N005371 New York

Profile Details

NPI number 1598704488
LBN Legal business name Rouder Dpm, Richard
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 6th, 2006
Last updated Aug 8th, 2013 - about 11 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 1598704488 NPPES
New Jersey MEDICAID 7426305

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