Rutherford, Robert

Rutherford, Robert is an individual health care provider with primary practice located at 21601 76Th Ave W , Edmonds WA 98026-7507. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Rutherford, Robert can be contacted via phone (425) 640-4682.

Contact Information

Primary practice address
21601 76Th Ave W Edmonds WA 98026-7507
Phone: (425) 640-4682
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X MT190979 Pennsylvania
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X MD438549 Pennsylvania
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X MD60201430 Washington

Profile Details

NPI number 1235391079
LBN Legal business name Rutherford, Robert
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 1st, 2008
Last updated Sep 13th, 2022 - about 2 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 1235391079 NPPES
Washington MEDICAID 1235391079

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