MICHAEL J RUDOLPH PC
NPI 1366878514
Counselor - Professional in Fairview, OH
Active since September 19, 2013
20800 WESTGATE PROF CENTER, SUITE 200, FAIRVIEW, OH 44126(440) 333-4949(440) 333-5044 Get Directions Write a Review
About Michael J Rudolph Pc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MICHAEL J RUDOLPH PC (NPI 1366878514) is an individual professional provider in Fairview, Ohio, licensed in Ohio (0800416) and active in the NPI registry since September 2013.
NPPES Registry Identity
NPI1366878514
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameMICHAEL J RUDOLPHCredential: PC
Location Address20800 WESTGATE PROF CENTER, SUITE 200Fairview, OH 44126
Mailing Address20800 Westgate Prof Center Suite 200Fairview, OH 44126 · (440) 333-4949 · Fax (440) 333-5044
Phone(440) 333-4949
Fax(440) 333-5044
Sole ProprietorNo
Enumeration DateSeptember 19, 2013
✔ NPI 1366878514 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in OH · 0800416
20800 WESTGATE PROF CENTER, Fairview, OH 44126
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1366878514, enumerated as an "individual" on September 19, 2013.
The provider is located at 20800 WESTGATE PROF CENTER SUITE 200 FAIRVIEW, OH 44126 and the phone number is (440) 333-4949.
Counselor with taxonomy code 101YP2500X and a focus in Professional.
