Rudolph, Christian E

Rudolph, Christian E is an individual health care provider with primary practice located at 2 Highland Park Drive Suite 201, Uniontown PA 15401. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Rudolph, Christian E can be contacted via phone (724) 439-4479.

Contact Information

Primary practice address
2 Highland Park Drive Suite 201 Uniontown PA 15401
Fax: (724) 439-4345
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X MD057219L Pennsylvania

Profile Details

NPI number 1356435853
LBN Legal business name Rudolph, Christian E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 2nd, 2006
Last updated Jul 12th, 2013 - about 11 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 1356435853 NPPES
Pennsylvania MEDICAID 001559609

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