Rudoni, Paula Modolo

Rudoni, Paula Modolo is an individual health care provider with primary practice located at 1096 S Belsay Rd Suite C, Burton MI 48509-1948. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Rudoni, Paula Modolo can be contacted via phone (810) 743-3351.

Contact Information

Primary practice address
1096 S Belsay Rd Suite C Burton MI 48509-1948
Fax: (810) 244-1239
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 4301060063 Michigan

Profile Details

NPI number 1902020415
LBN Legal business name Rudoni, Paula Modolo
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 13th, 2007
Last updated Dec 26th, 2014 - 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 1902020415 NPPES
Michigan Other 0500272 BLUE CROSS BLUE SHIELD

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