Rudolph, Mary
Rudolph, Mary is an sole proprietor health care provider with primary practice located at 4190 E Lake Rd , Erie PA 16511. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Rudolph, Mary can be contacted via phone (814) 616-2858.Contact Information
Primary practice address
4190 E Lake Rd
Erie PA 16511
Phone: (814) 616-2858
Fax: (814) 616-2860
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | CW019986 |
Profile Details
| NPI number | 1174910855 |
|---|---|
| LBN Legal business name | Rudolph, Mary |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 21st, 2015 |
| Last updated | Feb 18th, 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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