Rudolph, Jason W.

Rudolph, Jason W. is an individual health care provider with primary practice located at 2775 Schoenersville Rd , Bethlehem PA 18017-7307. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Orthopaedic Surgery. Allopathic & Osteopathic Physicians / Orthopaedic Surgery is his primary health care specialty. Rudolph, Jason W. can be contacted via phone (610) 861-8080.

Contact Information

Primary practice address
2775 Schoenersville Rd Bethlehem PA 18017-7307
Phone: (610) 861-8080
Fax: (610) 997-5762
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X MD067886L Pennsylvania
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X MD067886L Pennsylvania

Profile Details

NPI number 1023052446
LBN Legal business name Rudolph, Jason W.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 15th, 2006
Last updated Feb 16th, 2022 - about 4 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 1023052446 NPPES
Pennsylvania MEDICAID 0017598980001

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