Rutkowsky, Walter F

Rutkowsky, Walter F is an sole proprietor health care provider with primary practice located at 5005 Manatee Avenue West , Bradenton FL 34209-3857. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Rutkowsky, Walter F can be contacted via phone (941) 794-1315.

Contact Information

Primary practice address
5005 Manatee Avenue West Bradenton FL 34209-3857
Phone: (941) 794-1315
Fax: (941) 792-5034
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X OPC1555 Florida

Profile Details

NPI number 1417947680
LBN Legal business name Rutkowsky, Walter F
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 27th, 2005
Last updated Feb 26th, 2008 - about 17 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 1417947680 NPPES
Florida MEDICAID 078099500
Florida Other 4545097
Florida Other 2312704
Florida Other 580001115
Florida Other 19203

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