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Contact Information

G REX STROUD JR MD PC
201 E MAIN ST
WASHINGTON, IN47501-2970
 Phone: 812-254-4399
 Fax: 812-254-4473
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine

207Q00000X 08 Physician/Family Practice
 

Rural Health

261QR1300X B4[14] Rural Health Clinic
Indicates primary specialty

NPI Profile & details for G REX STROUD JR MD PC · (Female)

NPI # 1457607046
Status Active
Credentials
Entity Individual
Enumeration date 08/01/2012
Last updated 01/04/2019 - About 7 years ago
Sole proprietor 1 Not specified
Identifiers
  • IN License # 01057059A
  • IN Medicaid 201087090A
  • IN Other 15D2044671 CLIA
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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