Rutledge, Theresa S.
Rutledge, Theresa S. is an individual health care provider with primary practice located at 300 S Price St , Kingwood WV 26537-1442. She recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as her primary health care specialty. Rutledge, Theresa S. can be contacted via phone (304) 329-1400.Contact Information
Primary practice address
300 S Price St
Kingwood WV 26537-1442
Phone: (304) 329-1400
Fax: (304) 329-1175
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 2281 | West Virginia |
Profile Details
| NPI number | 1922120427 |
|---|---|
| LBN Legal business name | Rutledge, Theresa S. |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 4th, 2007 |
| Last updated | Nov 17th, 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 | 1922120427 | NPPES |
| West Virginia | MEDICAID | 3810006728 | |
| West Virginia | Other | 001990080 |
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