Short, Rodney A
Short, Rodney A is an individual health care provider with primary practice located at 4700 E 56Th St Suite 100, Davenport IA 52807-2995. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Short, Rodney A can be contacted via phone (563) 383-2667.Contact Information
Primary practice address
4700 E 56Th St Suite 100
Davenport IA 52807-2995
Phone: (563) 383-2667
Fax: (563) 383-2672
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | 33943 | Iowa |
Profile Details
NPI number | 1184602013 |
---|---|
LBN Legal business name | Short, Rodney A |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Dec 30th, 2005 |
Last updated | Apr 20th, 2021 - about 4 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 | 1184602013 | NPPES |
Iowa | MEDICAID | 1244830 | |
Iowa | Other | IA0113 | |
Iowa | Other | 130024939 | |
Iowa | Other | 1874249 | |
Iowa | Other | 44939 |
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