Rutkowsky, Walter F
Rutkowsky, Walter F is an sole proprietor health care provider with primary practice located at 5005 Manatee Avenue West , Bradenton FL 34209-3857. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Rutkowsky, Walter F can be contacted via phone (941) 794-1315.Contact Information
Primary practice address
5005 Manatee Avenue West
Bradenton FL 34209-3857
Phone: (941) 794-1315
Fax: (941) 792-5034
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | OPC1555 | Florida |
Profile Details
| NPI number | 1417947680 |
|---|---|
| LBN Legal business name | Rutkowsky, Walter F |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 27th, 2005 |
| Last updated | Feb 26th, 2008 - about 16 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 | 1417947680 | NPPES |
| Florida | MEDICAID | 078099500 | |
| Florida | Other | 4545097 | |
| Florida | Other | 2312704 | |
| Florida | Other | 580001115 | |
| Florida | Other | 19203 |
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