Rutherford, Dee Wayne
Rutherford, Dee Wayne is an sole proprietor health care provider with primary practice located at 3211 47Th St , Lubbock TX 79413-4112. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as his primary health care specialty. Rutherford, Dee Wayne can be contacted via phone (806) 766-0705.Contact Information
Primary practice address
3211 47Th St
Lubbock TX 79413-4112
Phone: (806) 766-0705
Fax: (806) 766-0509
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer | 2255A2300X | AT0969 | Texas |
Profile Details
| NPI number | 1265622690 |
|---|---|
| LBN Legal business name | Rutherford, Dee Wayne |
| Credentials | Licensed Athletic Trainer (LAT) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 1st, 2007 |
| Last updated | Aug 1st, 2007 - about 17 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 | 1265622690 | NPPES |
| Texas | Other | 22 | PROVIDER |
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