Rudy, David R
Rudy, David R is an individual health care provider with primary practice located at 1633 Timberlake Dr , Delaware OH 43015-8897. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Occupational Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Rudy, David R can be contacted via phone (740) 549-7665.Contact Information
Primary practice address
1633 Timberlake Dr
Delaware OH 43015-8897
Phone: (740) 549-7665
Fax: (740) 549-0130
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 036082096 | Illinois |
| Allopathic & Osteopathic Physicians / Occupational Medicine | 2083X0100X | 35-024341 | Ohio |
Profile Details
| NPI number | 1346200706 |
|---|---|
| LBN Legal business name | Rudy, David R |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 27th, 2006 |
| Last updated | Feb 6th, 2008 - about 16 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 | 1346200706 | NPPES |
| Illinois | MEDICAID | 036082096 |
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