Rudorfer, Bennett L
Rudorfer, Bennett L is an individual health care provider with primary practice located at 310 West Tyler , West Memphis AR 72301. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Rudorfer, Bennett L can be contacted via phone (870) 732-2398.Contact Information
Primary practice address
310 West Tyler
West Memphis AR 72301
Phone: (870) 732-2398
Fax: (870) 732-3647
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | N8396 | Arkansas |
Profile Details
| NPI number | 1124122700 |
|---|---|
| LBN Legal business name | Rudorfer, Bennett L |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 12th, 2006 |
| Last updated | Sep 7th, 2011 - about 15 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 | 1124122700 | NPPES |
| Arkansas | MEDICAID | 124411001 |
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