Tudder, Paul Adrian

Tudder, Paul Adrian is an sole proprietor health care provider with primary practice located at 821 S King St Suite H, Leesburg VA 20175-3921. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Tudder, Paul Adrian can be contacted via phone (703) 777-6550.

Contact Information

Primary practice address
821 S King St Suite H Leesburg VA 20175-3921
Phone: (703) 777-6550
Fax: (703) 771-8021
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 0101033381 Virginia

Profile Details

NPI number 1760446421
LBN Legal business name Tudder, Paul Adrian
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 12th, 2006
Last updated Jul 8th, 2014 - about 10 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 1760446421 NPPES
Virginia MEDICAID 6243215
Virginia Other 54-1655800

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