Demoss, Rodney A
Demoss, Rodney A is an sole proprietor health care provider with primary practice located at 507 23Rd St , Canyon TX 79015-4043. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Demoss, Rodney A can be contacted via phone (806) 655-1024.Contact Information
Primary practice address
507 23Rd St
Canyon TX 79015-4043
Phone: (806) 655-1024
Fax: (806) 655-9762
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Pharmacy Service Providers / Pharmacist | 183500000X | 10210 | Texas |
Profile Details
| NPI number | 1922097518 |
|---|---|
| LBN Legal business name | Demoss, Rodney A |
| Credentials | RPH |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 17th, 2005 |
| Last updated | Jun 9th, 2008 - about 18 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1922097518 | NPPES |
| Texas | MEDICAID | 142463 | |
| Texas | Other | 4564731 |
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