Rudert, Nicole K

Rudert, Nicole K is an individual health care provider with primary practice located at 1000 E Washington St , Medina OH 44256-2170. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Rudert, Nicole K can be contacted via phone (330) 721-5150.

Contact Information

Primary practice address
1000 E Washington St Medina OH 44256-2170
Phone: (330) 721-5150
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 50.002847 Ohio

Profile Details

NPI number 1487896197
LBN Legal business name Rudert, Nicole K
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 26th, 2009
Last updated Jun 8th, 2014 - about 12 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 1487896197 NPPES
Ohio Other RUPA33651 MEDICARE PTAN

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