Rudick, Ida Julia
Rudick, Ida Julia is an individual health care provider with primary practice located at 222 Tongass Dr , Sitka AK 99835-9416. She recently has only one registered license in Other Service Providers / Community Health Worker, which is considered as her primary health care specialty. Rudick, Ida Julia can be contacted via phone (907) 966-2411.Contact Information
Primary practice address
222 Tongass Dr
Sitka AK 99835-9416
Phone: (907) 966-2411
Fax: (907) 966-8656
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Community Health Worker | 172V00000X | 99305P | Alaska |
Profile Details
| NPI number | 1134406911 |
|---|---|
| LBN Legal business name | Rudick, Ida Julia |
| Credentials | CHP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 8th, 2011 |
| Last updated | Nov 8th, 2011 - about 13 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1134406911 | NPPES |
| Alaska | MEDICAID | MDG632 |
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