Rudisill, John R

Rudisill, John R is an individual health care provider with primary practice located at 1020 Woodman Dr Suite 225, Dayton OH 45432-1446. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Rudisill, John R can be contacted via phone (937) 254-9210.

Contact Information

Primary practice address
1020 Woodman Dr Suite 225 Dayton OH 45432-1446
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 2565 Ohio

Profile Details

NPI number 1871594853
LBN Legal business name Rudisill, John R
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 2nd, 2005
Last updated Jul 8th, 2007 - about 18 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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