Cruise, Rodell E
Cruise, Rodell E is an individual health care provider with primary practice located at 2009 Tidewater Colony Dr Suite 1A, Annapolis MD 21401-2107. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Cruise, Rodell E can be contacted via phone (410) 224-0010.Contact Information
Primary practice address
2009 Tidewater Colony Dr Suite 1A
Annapolis MD 21401-2107
Phone: (410) 224-0010
Fax: (410) 224-0012
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | D0054076 | Maryland |
Profile Details
| NPI number | 1881687762 |
|---|---|
| LBN Legal business name | Cruise, Rodell E |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 26th, 2005 |
| Last updated | Mar 20th, 2025 - about last year |
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 | 1881687762 | NPPES |
| Virginia | MEDICAID | 005622093 | |
| Virginia | Other | 080180343 |
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