Rudolph, Earl H

Rudolph, Earl H is an individual health care provider with primary practice located at 3333 W Deyoung St , Marion IL 62959-5884. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Rudolph, Earl H can be contacted via phone (618) 998-7017.

Contact Information

Primary practice address
3333 W Deyoung St Marion IL 62959-5884
Phone: (618) 998-7017
Fax: (618) 998-7449
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 036.134994 Illinois

Profile Details

NPI number 1487851481
LBN Legal business name Rudolph, Earl H
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 2nd, 2007
Last updated May 24th, 2019 - about 7 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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