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
Phone: (909) 361-6470
Fax:
Website:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1558825331 | NPPES |
| California | MEDICAID | 167G00000X |
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