Rodriguez, Mary Jo
Rodriguez, Mary Jo is an sole proprietor health care provider with primary practice located at 141A Mescalero Trail , Ruidoso NM 88345. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Rodriguez, Mary Jo can be contacted via phone (575) 257-4753.Contact Information
Primary practice address
141A Mescalero Trail
Ruidoso NM 88345
Phone: (575) 257-4753
Fax: (575) 257-4753
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 1528 | New Mexico |
Profile Details
| NPI number | 1285716936 |
|---|---|
| LBN Legal business name | Rodriguez, Mary Jo |
| Credentials | Physical Therapist (PT) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 20th, 2006 |
| Last updated | Sep 21st, 2009 - about 17 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 | 1285716936 | NPPES |
| New Mexico | MEDICAID | B9609 |
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