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
Fax: (563) 383-2672
Website:

Health care specialties

SpecialtyCodeLicense #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 3 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 1184602013 NPPES
Iowa MEDICAID 1244830
Iowa Other IA0113
Iowa Other 130024939
Iowa Other 1874249
Iowa Other 44939

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