Rode, Paul Evan

Rode, Paul Evan is an sole proprietor health care provider with primary practice located at 485 Broadway , Kingston NY 12401-4629. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Rode, Paul Evan can be contacted via phone (845) 338-4155.

Contact Information

Primary practice address
485 Broadway Kingston NY 12401-4629
Phone: (845) 338-4155
Fax: (845) 338-3365
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 31003 New York

Profile Details

NPI number 1740465913
LBN Legal business name Rode, Paul Evan
Credentials RPH
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 7th, 2008
Last updated Jan 7th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1740465913 NPPES
New York MEDICAID 31003

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