Canseco, Rica Rodriguez

Canseco, Rica Rodriguez is an individual health care provider with primary practice located at 6901 W Edgerton Ave , Greenfield WI 53220-4420. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is her primary health care specialty. Canseco, Rica Rodriguez can be contacted via phone (414) 421-8400.

Contact Information

Primary practice address
6901 W Edgerton Ave Greenfield WI 53220-4420
Phone: (414) 421-8400
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 50896-020 Wisconsin

Profile Details

NPI number 1538348537
LBN Legal business name Canseco, Rica Rodriguez
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 26th, 2007
Last updated Oct 2nd, 2023 - about last year

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 1538348537 NPPES
Wisconsin MEDICAID 1538348537
Wisconsin MEDICAID 100004466

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