Rudick, Jonathan Brett
Rudick, Jonathan Brett is an individual health care provider with primary practice located at 7331 Hanover Pkwy Ste B, Greenbelt MD 20770-3621. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Rudick, Jonathan Brett can be contacted via phone (301) 345-0605.Contact Information
Primary practice address
7331 Hanover Pkwy Ste B
Greenbelt MD 20770-3621
Phone: (301) 345-0605
Fax: (301) 345-0606
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Nephrology | 207RN0300X | D0053785 | Maryland |
Profile Details
| NPI number | 1124083704 |
|---|---|
| LBN Legal business name | Rudick, Jonathan Brett |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 18th, 2006 |
| Last updated | Sep 20th, 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 | 1124083704 | NPPES |
| Other | 61090905 | BSMD | |
| Other | F4550002 | BSMD | |
| MEDICAID | 970900200 | BSMD | |
| Other | 00A612C73 | BSMD | |
| Other | LX76CE | BSMD |
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