Rudolph, Rhys

Rudolph, Rhys is an individual health care provider with primary practice located at 1818 Carew St Suite 210, Fort Wayne IN 46805-4788. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Rudolph, Rhys can be contacted via phone (260) 482-8681.

Contact Information

Primary practice address
1818 Carew St Suite 210 Fort Wayne IN 46805-4788
Phone: (260) 482-8681
Fax: (260) 373-4699
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X 01029545 Indiana

Profile Details

NPI number 1457362717
LBN Legal business name Rudolph, Rhys
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 11th, 2006
Last updated Mar 23rd, 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 1457362717 NPPES
Indiana MEDICAID 100338370
Indiana Other 000000633802
Indiana Other P00803483

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