Rudd, Justin D

Rudd, Justin D is an individual health care provider with primary practice located at 8188 Us Highway 51 N , Millington TN 38053-1750. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Rudd, Justin D can be contacted via phone (901) 614-4455.

Contact Information

Primary practice address
8188 Us Highway 51 N Millington TN 38053-1750
Phone: (901) 614-4455
Fax: (901) 614-4526
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 5315 Tennessee
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X Tennessee

Profile Details

NPI number 1811620420
LBN Legal business name Rudd, Justin D
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 1st, 2022
Last updated Jun 1st, 2023 - about 2 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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