Rodriguez, Paul
Rodriguez, Paul is an individual health care provider with primary practice located at 105 W Griggs Ave , Las Cruces NM 88001-1235. He recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as his primary health care specialty. Rodriguez, Paul can be contacted via phone (575) 647-2800.Contact Information
Primary practice address
105 W Griggs Ave
Las Cruces NM 88001-1235
Phone: (575) 647-2800
Fax: (575) 647-2898
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Licensed Practical Nurse | 164W00000X | L16882 | New Mexico |
Profile Details
| NPI number | 1467950840 |
|---|---|
| LBN Legal business name | Rodriguez, Paul |
| Credentials | Licensed Practical Nurse (LPN) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 31st, 2018 |
| Last updated | Jan 21st, 2019 - about 6 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 | 1467950840 | NPPES |
| New Mexico | MEDICAID | 92487211 |
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