Rouder Dpm, Richard
Rouder Dpm, Richard is an individual health care provider with primary practice located at 1500 Victory Blvd , Staten Island NY 10301-3912. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot Surgery, which is considered as his primary health care specialty. Rouder Dpm, Richard can be contacted via phone (178) 556-5550.Contact Information
Primary practice address
1500 Victory Blvd
Staten Island NY 10301-3912
Phone: (178) 556-5550
Fax: (718) 273-3232
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Podiatric Medicine & Surgery Service Providers / Foot Surgery | 213ES0131X | N005371 | New York |
Profile Details
| NPI number | 1598704488 |
|---|---|
| LBN Legal business name | Rouder Dpm, Richard |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 6th, 2006 |
| Last updated | Aug 8th, 2013 - about 13 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 | 1598704488 | NPPES |
| New Jersey | MEDICAID | 7426305 |
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