Rundle, Paul Frank

Rundle, Paul Frank is an individual health care provider with primary practice located at 2703 Fairmont Ave , Fairmont WV 26554-3450. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Rundle, Paul Frank can be contacted via phone (304) 367-1131.

Contact Information

Primary practice address
2703 Fairmont Ave Fairmont WV 26554-3450
Fax: (304) 367-1141
Website:

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 820 West Virginia

Profile Details

NPI number 1700989787
LBN Legal business name Rundle, Paul Frank
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 6th, 2006
Last updated Jul 9th, 2007 - about 18 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 1700989787 NPPES
West Virginia Other 11430994 CAQH
West Virginia MEDICAID 3810002055 CAQH
West Virginia Other 4282386 CAQH
West Virginia Other WV00820 CAQH

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