Rudy, Carol A

Rudy, Carol A is an individual health care provider with primary practice located at 9001 N Country Homes Blvd , Spokane WA 99218-2072. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Rudy, Carol A can be contacted via phone (509) 838-2531.

Contact Information

Primary practice address
9001 N Country Homes Blvd Spokane WA 99218-2072
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X AP30000071 Washington

Profile Details

NPI number 1356334486
LBN Legal business name Rudy, Carol A
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 24th, 2005
Last updated Aug 19th, 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 1356334486 NPPES
Washington MEDICAID 9636002

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