Rudolf, Gregory D

Rudolf, Gregory D is an sole proprietor health care provider with primary practice located at 600 Broadway Ste 530 , Seattle WA 98122. He recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Addiction Medicine, Allopathic & Osteopathic Physicians / Pain Medicine, Other Service Providers / Acupuncturist. Allopathic & Osteopathic Physicians / Pain Medicine is his primary health care specialty. Rudolf, Gregory D can be contacted via phone (206) 386-2013.

Contact Information

Primary practice address
600 Broadway Ste 530 Seattle WA 98122
Phone: (206) 386-2013
Fax: (206) 386-2149
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD00041809 Washington
Allopathic & Osteopathic Physicians / Addiction Medicine 207QA0401X MD00041809 Washington
Allopathic & Osteopathic Physicians / Pain Medicine 208VP0000X MD00041809 Washington
Other Service Providers / Acupuncturist 171100000X MD00041809 Washington

Profile Details

NPI number 1871524728
LBN Legal business name Rudolf, Gregory D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 6th, 2006
Last updated Jun 2nd, 2021 - about 3 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 1871524728 NPPES
Washington MEDICAID 1120542
Washington MEDICAID 1871524728

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