Rudolph, Maj-Stina L

Rudolph, Maj-Stina L is an individual health care provider with primary practice located at 700 Potomac St 3Rd Floor, Aurora CO 80011-6844. She recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as her primary health care specialty. Rudolph, Maj-Stina L can be contacted via phone (303) 360-3260.

Contact Information

Primary practice address
700 Potomac St 3Rd Floor Aurora CO 80011-6844
Phone: (303) 360-3260
Fax: (303) 360-3388
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 42402 Colorado

Profile Details

NPI number 1821086992
LBN Legal business name Rudolph, Maj-Stina L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 12th, 2005
Last updated Apr 6th, 2012 - about 12 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 1821086992 NPPES
Colorado MEDICAID 78107733

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