Rudnik, Mark

Rudnik, Mark is an individual health care provider with primary practice located at 41 Montebello Rd Suite Ll2, Pueblo CO 81001-1379. He recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as his primary health care specialty. Rudnik, Mark can be contacted via phone (719) 545-2746.

Contact Information

Primary practice address
41 Montebello Rd Suite Ll2 Pueblo CO 81001-1379
Fax: (719) 542-9347
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X PN.0041707 Colorado

Profile Details

NPI number 1831597657
LBN Legal business name Rudnik, Mark
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 10th, 2014
Last updated Feb 13th, 2017 - about 7 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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Identifiers

StateTypeNumberIssuer
All States NPI 1831597657 NPPES
Colorado Other PN.0027215 BEACON

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