Sanders, Rodney Clark

Sanders, Rodney Clark is an individual health care provider with primary practice located at 1848 Parkland Drive Ne , Cullman AL 35058. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Sanders, Rodney Clark can be contacted via phone (256) 739-2885.

Contact Information

Primary practice address
1848 Parkland Drive Ne Cullman AL 35058
Phone: (256) 739-2885
Fax: (256) 739-2898
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 18950 Alabama

Profile Details

NPI number 1689679524
LBN Legal business name Sanders, Rodney Clark
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 16th, 2005
Last updated Apr 29th, 2013 - about 13 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 1689679524 NPPES
Alabama MEDICAID 000031996
Alabama MEDICAID 000024092
Alabama Other 19-10132
Alabama MEDICAID 000025759
Alabama Other 051031996
Alabama Other 340009944
Alabama Other 051024092
Alabama Other 051512140
Alabama MEDICAID 009908135
Alabama Other 5918885-001
Alabama Other 051025759

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