Rutherford, Dee Wayne

Rutherford, Dee Wayne is an sole proprietor health care provider with primary practice located at 3211 47Th St , Lubbock TX 79413-4112. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as his primary health care specialty. Rutherford, Dee Wayne can be contacted via phone (806) 766-0705.

Contact Information

Primary practice address
3211 47Th St Lubbock TX 79413-4112
Phone: (806) 766-0705
Fax: (806) 766-0509
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X AT0969 Texas

Profile Details

NPI number 1265622690
LBN Legal business name Rutherford, Dee Wayne
Credentials Licensed Athletic Trainer (LAT)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 1st, 2007
Last updated Aug 1st, 2007 - about 18 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 1265622690 NPPES
Texas Other 22 PROVIDER

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