Rutledge, Wayne C
Rutledge, Wayne C is an individual health care provider with primary practice located at 301 University Blvd , Galveston TX 77555-1173. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Rutledge, Wayne C can be contacted via phone (409) 772-1425.Contact Information
Primary practice address
301 University Blvd
Galveston TX 77555-1173
Phone: (409) 772-1425
Fax: (409) 772-0885
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | M1328 | Texas |
Profile Details
| NPI number | 1629165279 |
|---|---|
| LBN Legal business name | Rutledge, Wayne C |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 6th, 2006 |
| Last updated | Nov 16th, 2015 - about 9 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 | 1629165279 | NPPES |
| Texas | Other | 1629165279 | TRICARE SOUTH |
| Texas | MEDICAID | 151601501 | TRICARE SOUTH |
| Texas | Other | 8BE067 | TRICARE SOUTH |
| Texas | Other | P00690098 | TRICARE SOUTH |
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