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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 5 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 1073596383 NPPES
Colorado MEDICAID 74682261
Colorado Other P00781111

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