Rudy, Russell M
Rudy, Russell M is an individual health care provider with primary practice located at 401 N Ewing St , Lancaster OH 43130-3372. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Rudy, Russell M can be contacted via phone (740) 687-8000.Contact Information
Primary practice address
401 N Ewing St
Lancaster OH 43130-3372
Phone: (740) 687-8000
Fax: (740) 687-8939
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 35049204 | Ohio |
Profile Details
| NPI number | 1790766988 |
|---|---|
| LBN Legal business name | Rudy, Russell M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 7th, 2005 |
| Last updated | May 31st, 2011 - about 13 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 | 1790766988 | NPPES |
| Ohio | Other | 35049204 | OHIO STATE LICENSE NO |
| Ohio | MEDICAID | 0683532 | OHIO STATE LICENSE NO |
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