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:
Health care specialties
| Specialty | Code | License # | 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 11 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 | 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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