Ceballos, Rodolfo Baura
Ceballos, Rodolfo Baura is an individual health care provider with primary practice located at 1122 Culbert Drive , Marion VA 24354-4212. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / General Practice. Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. Ceballos, Rodolfo Baura can be contacted via phone (276) 783-7914.Contact Information
Primary practice address
1122 Culbert Drive
Marion VA 24354-4212
Phone: (276) 783-7914
Fax: (276) 783-1882
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 0101024299 | Virginia |
| Allopathic & Osteopathic Physicians / General Practice | 208D00000X | 0101024299 | Virginia |
Profile Details
| NPI number | 1578654448 |
|---|---|
| LBN Legal business name | Ceballos, Rodolfo Baura |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 27th, 2006 |
| Last updated | Jul 8th, 2007 - about 19 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 | 1578654448 | NPPES |
| Virginia | Other | 062952 | ANTHEM |
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