Rutledge, Charles David
Rutledge, Charles David is an individual health care provider with primary practice located at 4711 Centerline Dr Suite 100, Knoxville TN 37917-1403. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Rutledge, Charles David can be contacted via phone (865) 545-8700.Contact Information
Primary practice address
4711 Centerline Dr Suite 100
Knoxville TN 37917-1403
Phone: (865) 545-8700
Fax: (865) 545-8704
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Other Service Providers / Specialist | 174400000X | MD18985 | Tennessee |
Profile Details
NPI number | 1487623971 |
---|---|
LBN Legal business name | Rutledge, Charles David |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Mar 16th, 2006 |
Last updated | Dec 30th, 2011 - about 14 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 | 1487623971 | NPPES |
Tennessee | MEDICAID | 18985 |
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