Jack George Rudolph in Medford - Counselor
Jack George Rudolph - NPI 1487823308
Jack George Rudolph is a Counselor in Medford, Wisconsin. Jack George Rudolph practices all healthcare services and medical treatments related to Counselor. The NPI Number for Jack George Rudolph is 1487823308. The last update date is 2008-03-13.
Jack George Rudolph's current location address is 540 College Ave, Medford, Wisconsin. You can contact this provider via phone number 7157483332 and fax number 7157483342. The mailing address for Jack George Rudolph is 540 College Ave, Medford, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jack George Rudolph |
|---|---|
| Address | 540 College Ave, Medford, Wisconsin |
| Phone Number | 7157483332 |
| Fax Number | 7157483342 |
| Sole Proprietor | N |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1487823308 |
|---|---|
| Provider Enumeration Date | 2008-02-25 |
| Last Updated Date | 2008-03-13 |
Provider Mailing Address Detail
| Address | 540 College Ave |
|---|---|
| City | Medford |
| State | Wisconsin (WI) |
| Post Code | 544512027 |
| Phone Number | 7157483332 |
| Fax Number | 7157483342 |
Provider's Primary Taxonomy Detail
| Speciality | Counselor |
|---|---|
| Taxonomy | 101Y00000X |
| Licence No | 2651-125 |
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Definition: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supe |
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Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Jack George Rudolph by the Centers for Medicare & Medicaid Services?
The Jack George Rudolph has been assigned the NPI (National Provider Identifier) 1487823308 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Can you provide the Jack George Rudolph's physical address?
The Jack George Rudolph is physically located at 540 College Ave, in the city of Medford, WI, with the postal code 544512027.
What is Jack George Rudolph's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Jack George Rudolph is Counselor, and the taxonomy code that classifies this field of practice is 101Y00000X.
When did Jack George Rudolph receive its 1487823308 assignment?
The Jack George Rudolph was assigned its 1487823308 on 2008-02-25, which is the date when this unique identifier was issued to the organization.
As of what date was the information pertaining to Jack George Rudolph, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Jack George Rudolph, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2008-03-13.