Rodriguez, Juan B
Rodriguez, Juan B is an individual health care provider with primary practice located at 1136 E. Stuart Street Building 3, Suite 200, Fort Collins CO 80525-1195. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Rodriguez, Juan B can be contacted via phone (303) 338-4545.Contact Information
Primary practice address
1136 E. Stuart Street Building 3, Suite 200
Fort Collins CO 80525-1195
Phone: (303) 338-4545
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 42203 | Colorado |
Profile Details
| NPI number | 1811987829 |
|---|---|
| LBN Legal business name | Rodriguez, Juan B |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 21st, 2005 |
| Last updated | Jun 4th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1811987829 | NPPES |
| Colorado | MEDICAID | 63670330 | |
| Colorado | Other | 028003 |
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