Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgeon | 35263 | TN |
N | 207XS0117X | Orthopaedic Spine Surgeon | 35263 | TN |
NPI | 1346359460 |
---|---|
Provider Name | Rudolph Chirstopher Glattes |
First Address | Nashville, TN 37203 |
Second Address | Nashville, TN 37203 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/08/2006 |
Last Update Date | 01/11/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
100454230A | (05) | KS |
208983700 | (05) | MO |
32353015 | BCBS (01) | MO |
519700 | FIRSTGUARD (01) | KS |
H58858 | (02) | UT |
P00047432 | RAILROAD MEDICARE (01) |