Canos, Rodolfo Louis

Canos, Rodolfo Louis is an individual health care provider with primary practice located at 3333 W Tech Rd , Miamisburg OH 45342-0955. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as his primary health care specialty. Canos, Rodolfo Louis can be contacted via phone (937) 641-5725.

Contact Information

Primary practice address
3333 W Tech Rd Miamisburg OH 45342-0955
Phone: (937) 641-5725
Fax: (937) 350-3050
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X APRN.CNP.14278 Ohio

Profile Details

NPI number 1982946844
LBN Legal business name Canos, Rodolfo Louis
Credentials Pediatric Nurse Practitioner (PNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 19th, 2013
Last updated Oct 7th, 2023 - about 2 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 1982946844 NPPES
Ohio MEDICAID 0082514

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