Abrahams, Rodney Ralston

Abrahams, Rodney Ralston is an sole proprietor health care provider with primary practice located at 204 Campbell Ln , Tazewell VA 24651. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Abrahams, Rodney Ralston can be contacted via phone (276) 979-1121.

Contact Information

Primary practice address
204 Campbell Ln Tazewell VA 24651
Fax: (276) 979-1121
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 0401004749 Virginia

Profile Details

NPI number 1619995933
LBN Legal business name Abrahams, Rodney Ralston
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 17th, 2006
Last updated Jul 24th, 2018 - about 8 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 1619995933 NPPES
Virginia Other 541050295 DELTA METLIFE
Virginia Other 140394 DELTA METLIFE
Virginia Other 176747 DELTA METLIFE
Virginia MEDICAID 007808411 DELTA METLIFE

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