Phelps, William Rudolph

Phelps, William Rudolph is an individual health care provider with primary practice located at 101 Walten Point , Erie PA 16511. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Phelps, William Rudolph can be contacted via phone (814) 323-8630.

Contact Information

Primary practice address
101 Walten Point Erie PA 16511
Phone: (814) 323-8630
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X MD018501 Pennsylvania

Profile Details

NPI number 1104827617
LBN Legal business name Phelps, William Rudolph
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 9th, 2005
Last updated May 10th, 2017 - about 9 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 1104827617 NPPES
Pennsylvania MEDICAID 0006381810010

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