Rudolph, Grey
Rudolph, Grey is an individual health care provider with primary practice located at 2500 E Prospect , Fort Collins CO 80525-9718. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Rudolph, Grey can be contacted via phone (970) 493-0112.Contact Information
Primary practice address
2500 E Prospect
Fort Collins CO 80525-9718
Phone: (970) 493-0112
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 8819 | Colorado |
Profile Details
| NPI number | 1073596383 |
|---|---|
| LBN Legal business name | Rudolph, Grey |
| Credentials | DPT |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 22nd, 2005 |
| Last updated | Dec 16th, 2019 - about 6 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 | 1073596383 | NPPES |
| Colorado | MEDICAID | 74682261 | |
| Colorado | Other | P00781111 |
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