Taarea, Rudy Hartono

Taarea, Rudy Hartono is an individual health care provider with primary practice located at 511 Brantley St , Opp AL 36467-1702. He recently has only one registered license in Allopathic & Osteopathic Physicians / Aerospace Medicine, which is considered as his primary health care specialty. Taarea, Rudy Hartono can be contacted via phone (334) 493-3240.

Contact Information

Primary practice address
511 Brantley St Opp AL 36467-1702
Phone: (334) 493-3240
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Aerospace Medicine 2083A0100X AL19483 Alabama

Profile Details

NPI number 1336121862
LBN Legal business name Taarea, Rudy Hartono
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 18th, 2005
Last updated Nov 20th, 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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