Rudicel, Robert Todd

Rudicel, Robert Todd is an individual health care provider with primary practice located at 8890 E 116Th St Suite 260, Fishers IN 46038-2856. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Rudicel, Robert Todd can be contacted via phone (317) 621-8953.

Contact Information

Primary practice address
8890 E 116Th St Suite 260 Fishers IN 46038-2856
Phone: (317) 621-8953
Fax: (317) 621-4456
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 01050364B Indiana
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 01050364A Indiana

Profile Details

NPI number 1629069067
LBN Legal business name Rudicel, Robert Todd
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 3rd, 2005
Last updated Nov 27th, 2023 - about last year

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 1629069067 NPPES
Indiana Other P01588241 RR MEDICARE
Indiana Other 7771014 RR MEDICARE
Indiana MEDICAID 201103750 RR MEDICARE
Indiana Other 000000092060 RR MEDICARE
Indiana Other 8349601001 RR MEDICARE

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