Janet P. Rudderham in Belleville - Medical

Janet P. Rudderham - NPI 1366433286

Janet P. Rudderham is a Medical in Belleville, Illinois. Janet P. Rudderham practices all healthcare services and medical treatments related to Medical. The NPI Number for Janet P. Rudderham is 1366433286. The last update date is 2018-09-12.

Janet P. Rudderham's current location address is 311 W Lincoln St Ste 101, Belleville, Illinois. You can contact this provider via phone number 6182223200 and fax number 6182223203. The mailing address for Janet P. Rudderham is 311 W Lincoln St Ste 101, Belleville, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Name Janet P. Rudderham
Address 311 W Lincoln St Ste 101, Belleville, Illinois
Phone Number 6182223200
Fax Number 6182223203
Sole Proprietor N
Credentials PA-C

NPI Number Detail

NPI Number 1366433286
Provider Enumeration Date 2005-10-31
Last Updated Date 2018-09-12

Provider Mailing Address Detail

Address 311 W Lincoln St Ste 101
City Belleville
State Illinois (IL)
Post Code 622201902
Phone Number 6182223200
Fax Number 6182223203

Provider's Primary Taxonomy Detail

Speciality Medical
Taxonomy 363Am0700X
Licence No 85003452
Definition:
A licensed healthcare professional who practices medicine under physician supervision focusing on medical diagnoses and treatment.

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FAQs about Janet P. Rudderham

What is the Janet P. Rudderham's unique identification number?

The Janet P. Rudderham has been assigned the NPI (National Provider Identifier) Number 1366433286 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you provide the complete physical address where Janet P. Rudderham is located?

The Janet P. Rudderham is situated at the following address: 311 W Lincoln St Ste 101, Belleville, IL, 622201902.

What is Janet P. Rudderham's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Janet P. Rudderham is Medical, and the taxonomy classification code that categorizes this area of expertise is 363Am0700X.

On what date did the Janet P. Rudderham receive its 1366433286 assignment from the Centers for Medicare & Medicaid Services?

The Janet P. Rudderham was assigned its 1366433286 by the Centers for Medicare & Medicaid Services on 2005-10-31.

As of what date were the details pertaining to Janet P. Rudderham last refreshed?

The information related to the Janet P. Rudderham, including its address, specialty, and other relevant details, was last updated on 2018-09-12.

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