Rudnicki, Robert David
Rudnicki, Robert David is an sole proprietor health care provider with primary practice located at 701 Cottage Grove Rd Ste C230, Bloomfield CT 06002. He recently has only one registered license in Allopathic & Osteopathic Physicians / Rheumatology, which is considered as his primary health care specialty. Rudnicki, Robert David can be contacted via phone (860) 242-5777.Contact Information
Primary practice address
701 Cottage Grove Rd Ste C230
Bloomfield CT 06002
Phone: (860) 242-5777
Fax: (860) 286-2972
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Rheumatology | 207RR0500X | 15878 | Connecticut |
Profile Details
NPI number | 1891762902 |
---|---|
LBN Legal business name | Rudnicki, Robert David |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Mar 7th, 2006 |
Last updated | Oct 14th, 2010 - about 15 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 | 1891762902 | NPPES |
Connecticut | MEDICAID | 115878 |
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