Rudolph, Colin David

Rudolph, Colin David is an individual health care provider with primary practice located at 156 Parker Avenue , San Francisco CA 94118-2608. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Gastroenterology, which is considered as his primary health care specialty. Rudolph, Colin David can be contacted via phone (415) 317-6342.

Contact Information

Primary practice address
156 Parker Avenue San Francisco CA 94118-2608
Phone: (415) 317-6342
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Gastroenterology 2080P0206X 42936 Wisconsin

Profile Details

NPI number 1073564548
LBN Legal business name Rudolph, Colin David
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 12th, 2006
Last updated Jan 3rd, 2022 - about 3 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 1073564548 NPPES
Wisconsin MEDICAID 34045500
Wisconsin Other 004006261W

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