Rudolph, William G.

Rudolph, William G. is an individual health care provider with primary practice located at 1080 First Colonial Rd Suite 200, Virginia Beach VA 23454-2406. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Colon & Rectal Surgery. Allopathic & Osteopathic Physicians / Colon & Rectal Surgery is his primary health care specialty. Rudolph, William G. can be contacted via phone (757) 395-6070.

Contact Information

Primary practice address
1080 First Colonial Rd Suite 200 Virginia Beach VA 23454-2406
Phone: (757) 395-6070
Fax: (757) 395-6381
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 0101241931 Virginia
Allopathic & Osteopathic Physicians / Colon & Rectal Surgery 208C00000X 0101241931 Virginia

Profile Details

NPI number 1407917875
LBN Legal business name Rudolph, William G.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 12th, 2006
Last updated Mar 28th, 2022 - about 3 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 1407917875 NPPES
Colorado MEDICAID 79622011

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