Rudd, Anthony Dale

Rudd, Anthony Dale is an individual health care provider with primary practice located at 1660 S Columbian Way , Seattle WA 98108-1532. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Rudd, Anthony Dale can be contacted via phone (253) 720-9247.

Contact Information

Primary practice address
1660 S Columbian Way Seattle WA 98108-1532
Phone: (253) 720-9247
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X MD44503 Washington

Profile Details

NPI number 1700844800
LBN Legal business name Rudd, Anthony Dale
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 1st, 2006
Last updated Nov 14th, 2011 - about 15 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 1700844800 NPPES
Washington Other 0200024 LIWA
Washington MEDICAID 8431470 LIWA
Washington Other 2165RU LIWA

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