Rueda Vasquez, Eduardo
Rueda Vasquez, Eduardo is an individual health care provider with primary practice located at 1000 Commerce Park Dr Suite 110, Williamsport PA 17701-5475. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Rueda Vasquez, Eduardo can be contacted via phone (570) 323-6944.Contact Information
Primary practice address
1000 Commerce Park Dr Suite 110
Williamsport PA 17701-5475
Phone: (570) 323-6944
Fax: (570) 323-4529
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | MD438359 | Pennsylvania |
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 18868 | Georgia |
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 0101048597 | Virginia |
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 223712 | New York |
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 31332 | Florida |
Profile Details
| NPI number | 1891730842 |
|---|---|
| LBN Legal business name | Rueda Vasquez, Eduardo |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 16th, 2006 |
| Last updated | Sep 27th, 2013 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1891730842 | NPPES |
| Pennsylvania | MEDICAID | 1028002940001 |
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