| Ryan Rolf Md Llc | |
|
129 Osprey Pass Huntertown IN 46748-9231 | |
| (260) 633-1950 | |
| Not Available |
| Full Name | Ryan Rolf Md Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 129 Osprey Pass, Huntertown, Indiana |
| Authorized Official Name and Position | Ryan C Rolf (PRESIDENT) |
| Authorized Official Contact | 2606331950 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ryan Rolf Md Llc 129 Osprey Pass Huntertown IN 46748-9231 Ph: (260) 633-1950 | Ryan Rolf Md Llc 129 Osprey Pass Huntertown IN 46748-9231 Ph: (260) 633-1950 |
| NPI Number | 1932507464 |
|---|---|
| Provider Enumeration Date | 12/16/2014 |
| Last Update Date | 06/21/2016 |
| Medicare PECOS PAC ID | 1456678812 |
|---|---|
| Medicare Enrollment ID | O20150323002085 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932507464 | NPI | - | NPPES |
| 201277720 A | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 01057615A (Indiana) | Primary |
| Provider Name | Ryan C Rolf |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801992235 PECOS PAC ID: 1153305503 Enrollment ID: I20040615000397 |
Kash Medical Holdings Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 15719 Chilkat Trl, Huntertown, IN 46748 Phone: 260-223-5611 Fax: 844-565-8144 |