Rueda Carrillo, Luis Gonzalo

Rueda Carrillo, Luis Gonzalo is an sole proprietor health care provider with primary practice located at 1120 15Th St , Augusta GA 30912-0004. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Rueda Carrillo, Luis Gonzalo can be contacted via phone (706) 721-7005.

Contact Information

Primary practice address
1120 15Th St Augusta GA 30912-0004
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 12937 Georgia

Profile Details

NPI number 1992374086
LBN Legal business name Rueda Carrillo, Luis Gonzalo
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 22nd, 2021
Last updated Sep 1st, 2021 - about 5 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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