Rudolph, David Scott
Rudolph, David Scott is an sole proprietor health care provider with primary practice located at 561 S Denali Ste C, Palmer AK 99645. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Rudolph, David Scott can be contacted via phone (907) 745-8432.Contact Information
Primary practice address
561 S Denali Ste C
Palmer AK 99645
Phone: (907) 745-8432
Fax: (907) 746-4489
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 2066 | Alaska |
Profile Details
| NPI number | 1376526749 |
|---|---|
| LBN Legal business name | Rudolph, David Scott |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 21st, 2005 |
| Last updated | Oct 17th, 2007 - about 19 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 | 1376526749 | NPPES |
| Alaska | MEDICAID | MD2033 |
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