Rutherford, Karla Renae
Rutherford, Karla Renae is an individual health care provider with primary practice located at 6330 W Thunderbird Rd , Glendale AZ 85306-4002. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Rutherford, Karla Renae can be contacted via phone (623) 486-6000.Contact Information
Primary practice address
6330 W Thunderbird Rd
Glendale AZ 85306-4002
Phone: (623) 486-6000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 1189 | Arizona |
Profile Details
| NPI number | 1790816437 |
|---|---|
| LBN Legal business name | Rutherford, Karla Renae |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 7th, 2007 |
| 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1790816437 | NPPES |
| Arizona | MEDICAID | 623315 |
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