Rudolf, Patricia Ann
Rudolf, Patricia Ann is an individual health care provider with primary practice located at 25590 Prospect Ave Apt 32C , Loma Linda CA 92354-3151. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Rudolf, Patricia Ann can be contacted via phone (626) 848-9161.Contact Information
Primary practice address
25590 Prospect Ave Apt 32C
Loma Linda CA 92354-3151
Phone: (626) 848-9161
Fax: (909) 987-6543
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X |
Profile Details
NPI number | 1518552504 |
---|---|
LBN Legal business name | Rudolf, Patricia Ann |
Credentials | RADT |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Mar 2nd, 2021 |
Last updated | Mar 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1518552504 | NPPES |
California | Other | R1318560818 | CCAPP |
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