Michael J Rudolph, PC is a
Counselor - Professional based in Fairview, Ohio. Michael J Rudolph is licensed to practice in Ohio (license number 0800416) and his current practice location is
20800 Westgate Prof Center, Suite 200, Fairview, Ohio. He can be reached at his office (for appointments etc.) via phone at
(440) 333-4949.
NPI number for Michael J Rudolph is 1366878514 and his current mailing address is 20800 Westgate Prof Center Suite 200, Fairview, Ohio. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1366878514.
Healthcare Provider's Profile
Full Name | Michael J Rudolph |
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Gender | Male |
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Speciality | Counselor - Professional |
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Location | 20800 Westgate Prof Center, Fairview, Ohio |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1366878514
- Provider Enumeration Date: 09/19/2013
- Last Update Date: 09/19/2013
Medical Identifiers
Medical identifiers for Michael J Rudolph such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1366878514 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YP2500X | Counselor - Professional | 0800416 (Ohio) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Michael J Rudolph is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Michael J Rudolph, PC 20800 Westgate Prof Center Suite 200, Fairview, OH 44126 Ph: (440) 333-4949 | Michael J Rudolph, PC 20800 Westgate Prof Center, Suite 200, Fairview, OH 44126 Ph: (440) 333-4949 |
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