Rhodes, Sean Michael
Rhodes, Sean Michael is an sole proprietor health care provider with primary practice located at 2280 Provident Ct Ste B , Warsaw IN 46580-3284. He recently has 6 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, Podiatric Medicine & Surgery Service Providers / Foot Surgery, Podiatric Medicine & Surgery Service Providers / Podiatrist, Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine, Podiatric Medicine & Surgery Service Providers / Public Medicine, Podiatric Medicine & Surgery Service Providers / Radiology. Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine is his primary health care specialty. Rhodes, Sean Michael can be contacted via phone (574) 269-9200.Contact Information
Primary practice address
2280 Provident Ct Ste B
Warsaw IN 46580-3284
Phone: (574) 269-9200
Fax: (574) 269-9658
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery | 213ES0103X | 07000846 | Indiana |
| Podiatric Medicine & Surgery Service Providers / Foot Surgery | 213ES0131X | 07000846 | Indiana |
| Podiatric Medicine & Surgery Service Providers / Podiatrist | 213E00000X | 07000846 | Indiana |
| Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine | 213EP1101X | 07000846 | Indiana |
| Podiatric Medicine & Surgery Service Providers / Public Medicine | 213EP0504X | 07000846 | Indiana |
| Podiatric Medicine & Surgery Service Providers / Radiology | 213ER0200X | 07000846 | Indiana |
Profile Details
| NPI number | 1225034028 |
|---|---|
| LBN Legal business name | Rhodes, Sean Michael |
| Credentials | Doctor of Podiatric Medicine (DPM) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 27th, 2005 |
| Last updated | Sep 19th, 2008 - about 18 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 | 1225034028 | NPPES |
| Indiana | Other | 000000108914 | BLUE CROSS BLUE SHIELD |
| Indiana | MEDICAID | 200158810B | BLUE CROSS BLUE SHIELD |
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