Dela Cruz, Roderick Brian

Dela Cruz, Roderick Brian is an sole proprietor health care provider with primary practice located at 9428 69Th St , Kenosha WI 53142-8111. He recently has only one registered license in Nursing Service Providers / Medical-Surgical, which is considered as his primary health care specialty. Dela Cruz, Roderick Brian can be contacted via phone (262) 344-3892.

Contact Information

Primary practice address
9428 69Th St Kenosha WI 53142-8111
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Medical-Surgical 163WM0705X 239454 Wisconsin

Profile Details

NPI number 1033730346
LBN Legal business name Dela Cruz, Roderick Brian
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 28th, 2020
Last updated Apr 28th, 2020 - about 4 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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