Rudolph, Karen Jon
Rudolph, Karen Jon is an individual health care provider with primary practice located at 1002 Sushruta Drive , Martinsburg WV 25401. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Rudolph, Karen Jon can be contacted via phone (304) 263-0913.Contact Information
Primary practice address
1002 Sushruta Drive
Martinsburg WV 25401
Phone: (304) 263-0913
Fax: (304) 267-2917
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 14160 | West Virginia |
Profile Details
| NPI number | 1659332955 |
|---|---|
| LBN Legal business name | Rudolph, Karen Jon |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 28th, 2006 |
| Last updated | Jul 8th, 2007 - about 17 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 | 1659332955 | NPPES |
| West Virginia | MEDICAID | 0084601000 | |
| West Virginia | Other | 4420246 |
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