Rudolph, Merritt C
Rudolph, Merritt C is an individual health care provider with primary practice located at 850 E Harvard Ave Ste 405, Denver CO 80210-5077. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Rudolph, Merritt C can be contacted via phone (303) 722-4683.Contact Information
Primary practice address
850 E Harvard Ave Ste 405
Denver CO 80210-5077
Phone: (303) 722-4683
Fax: (303) 778-0726
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 16397 | Colorado |
Profile Details
| NPI number | 1033171483 |
|---|---|
| LBN Legal business name | Rudolph, Merritt C |
| Credentials | MD PC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 3rd, 2006 |
| Last updated | Oct 26th, 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 | 1033171483 | NPPES |
| Colorado | MEDICAID | 04010153 |
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