Rudy, Dianna

Rudy, Dianna is an individual health care provider with primary practice located at 804 Belvedere St , Carlisle PA 17013-4001. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Rudy, Dianna can be contacted via phone (717) 243-1653.

Contact Information

Primary practice address
804 Belvedere St Carlisle PA 17013-4001
Phone: (717) 243-1653
Fax: (717) 243-6708
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X MA002847L Pennsylvania

Profile Details

NPI number 1144269705
LBN Legal business name Rudy, Dianna
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 6th, 2006
Last updated Aug 12th, 2015 - about 11 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 1144269705 NPPES
Pennsylvania Other 50047031 CAPITOL BLUE CROSS PROV N

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