Ryan Rolf Md Llc | |
129 Osprey Pass Huntertown IN 46748-9231 | |
(260) 633-1950 | |
Not Available |
Full Name | Ryan Rolf Md Llc |
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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 |
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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 |
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Provider Enumeration Date | 12/16/2014 |
Last Update Date | 06/21/2016 |
Medicare PECOS PAC ID | 1456678812 |
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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 |
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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: Not Enrolled in Medicare Practice Location: 15719 Chilkat Trl, Huntertown, IN 46748 Phone: 260-223-5611 Fax: 844-565-8144 |