Rudolph, Michael Patrick

Rudolph, Michael Patrick is an sole proprietor health care provider with primary practice located at 305 S State St , Aberdeen SD 57401-4527. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Anesthesiology is his primary health care specialty. Rudolph, Michael Patrick can be contacted via phone (605) 622-2142.

Contact Information

Primary practice address
305 S State St Aberdeen SD 57401-4527
Phone: (605) 622-2142
Fax: (605) 622-5127
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 3564 Iowa
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X 3564 Iowa
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 02003014A Indiana
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X DO0000001935 Tennessee

Profile Details

NPI number 1295732923
LBN Legal business name Rudolph, Michael Patrick
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 7th, 2005
Last updated Feb 1st, 2012 - about 14 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 1295732923 NPPES
Indiana Other 9265107 PHCS PID NUMBER
Indiana Other 4571 PHCS PID NUMBER
Indiana Other 000000391600 PHCS PID NUMBER
Indiana Other 50171 PHCS PID NUMBER
Indiana MEDICAID 0120733 PHCS PID NUMBER
Indiana MEDICAID 0442343 PHCS PID NUMBER
Indiana Other 11507531 PHCS PID NUMBER
Indiana MEDICAID 200802530 PHCS PID NUMBER

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