Rodriguez, Jose Abraham

Rodriguez, Jose Abraham is an individual health care provider with primary practice located at 702 Martin Luther King St , Mound Bayou MS 38762-9314. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Rodriguez, Jose Abraham can be contacted via phone (662) 741-8800.

Contact Information

Primary practice address
702 Martin Luther King St Mound Bayou MS 38762-9314
Phone: (662) 741-8800
Fax: (662) 741-2700
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 19905 Mississippi

Profile Details

NPI number 1780779579
LBN Legal business name Rodriguez, Jose Abraham
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 4th, 2006
Last updated Mar 9th, 2023 - about 2 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 1780779579 NPPES
Mississippi MEDICAID 09151072

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