Flora, Rudolph

Flora, Rudolph is an individual health care provider with primary practice located at 460 W Main St , Abingdon VA 24210-2608. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Flora, Rudolph can be contacted via phone (276) 628-5752.

Contact Information

Primary practice address
460 W Main St Abingdon VA 24210-2608
Phone: (276) 628-5752
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 0904002186 Virginia

Profile Details

NPI number 1295758407
LBN Legal business name Flora, Rudolph
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 26th, 2006
Last updated Mar 26th, 2015 - about 11 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 1295758407 NPPES
Virginia Other 116049 VALUE OPTIONS
Virginia Other 238172 VALUE OPTIONS
Virginia Other 5095412 VALUE OPTIONS
Virginia MEDICAID 1295758407 VALUE OPTIONS

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