Rodriguez, Paul L

Rodriguez, Paul L is an sole proprietor health care provider with primary practice located at 4713 N Portwest Cir , Wichita KS 67204-2356. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / General Practice. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Rodriguez, Paul L can be contacted via phone (316) 729-5517.

Contact Information

Primary practice address
4713 N Portwest Cir Wichita KS 67204-2356
Phone: (316) 729-5517
Fax: (316) 729-5655
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 10166 Oklahoma
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X ME90262 Florida
Allopathic & Osteopathic Physicians / General Practice 208D00000X 04-14664 Kansas

Profile Details

NPI number 1841209236
LBN Legal business name Rodriguez, Paul L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 5th, 2006
Last updated Jan 27th, 2016 - about 9 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 1841209236 NPPES
Kansas Other BCBS OF KS BCBS IND OF KS 000105163
Kansas Other 248522505 BCBS IND OF KS 000105163
Kansas Other 7016639 BCBS IND OF KS 000105163
Kansas Other P00272804 BCBS IND OF KS 000105163
Kansas MEDICAID 100206250B BCBS IND OF KS 000105163

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