Dippel, Roderick Taylor

Dippel, Roderick Taylor is an individual health care provider with primary practice located at 955 Ribaut Rd , Beaufort SC 29902-5441. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Dippel, Roderick Taylor can be contacted via phone (843) 522-5005.

Contact Information

Primary practice address
955 Ribaut Rd Beaufort SC 29902-5441
Phone: (843) 522-5005
Fax: (843) 522-5017
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 17989 South Carolina

Profile Details

NPI number 1699721852
LBN Legal business name Dippel, Roderick Taylor
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 26th, 2006
Last updated Jan 30th, 2014 - about 12 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 1699721852 NPPES
South Carolina MEDICAID T19584

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