Rodriguez, Martin Seth

Rodriguez, Martin Seth is an individual health care provider with primary practice located at 1481 Windsor Dr , San Bernardino CA 92404-5416. He recently has only one registered license in Nursing Service Providers / Licensed Psychiatric Technician, which is considered as his primary health care specialty. Rodriguez, Martin Seth can be contacted via phone (909) 361-6470.

Contact Information

Primary practice address
1481 Windsor Dr San Bernardino CA 92404-5416
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Psychiatric Technician 167G00000X

Profile Details

NPI number 1558825331
LBN Legal business name Rodriguez, Martin Seth
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 25th, 2019
Last updated Jan 25th, 2019 - about 7 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 1558825331 NPPES
California MEDICAID 167G00000X

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