Roddy, Jonathan R

Roddy, Jonathan R is an sole proprietor health care provider with primary practice located at 1200 College Dr , Rock Springs WY 82901-5868. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Roddy, Jonathan R can be contacted via phone (307) 352-8350.

Contact Information

Primary practice address
1200 College Dr Rock Springs WY 82901-5868
Phone: (307) 352-8350
Fax: (307) 352-8178
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 6643A Wyoming

Profile Details

NPI number 1033271366
LBN Legal business name Roddy, Jonathan R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 14th, 2006
Last updated Dec 1st, 2021 - about 5 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1033271366 NPPES
Wyoming Other 605960009 FBL
Wyoming MEDICAID 116306000 FBL
Wyoming Other 315393 FBL

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