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Contact Information

SEAN M RHODES, DPM
2280 PROVIDENT CT STE B
WARSAW, IN46580-3284
 Phone: 574-269-9200
 Fax: 574-269-9658
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Primary Podiatric Medicine

213EP1101X 48 Podiatry
 

Podiatrist

213E00000X 48 Podiatry
 

Public Health

213EP0504X 48 Podiatry
 

Radiology

213ER0200X 48 Podiatry
 

Surgery, Foot

213ES0131X 48 Podiatry
 

Surgery, Foot & Ankle

213ES0103X 48 Podiatry
Indicates primary specialty

NPI Profile & details for SEAN M RHODES · (Male)

NPI # 1225034028
Status Active
Credentials DPM (Doctor of Podiatric Medicine)
Entity Individual
Enumeration date 06/27/2005
Last updated 09/19/2008 - About 18 years ago
Sole proprietor 1 Yes
Identifiers
  • IN License # 07000846
  • IN Medicaid 200158810B
  • IN Other 000000108914 BLUE CROSS BLUE SHIELD
Hospital affiliation(s)
  • KOSCIUSKO COMMUNITY HOSPITAL - (Acute Care)
    2101 E DUBOIS DR
    WARSAW, IN 46580
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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