Delacruz, Edgar Rodriguez
Delacruz, Edgar Rodriguez is an sole proprietor health care provider with primary practice located at 715 E Shafer Ave , Dover OH 44622-2053. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Delacruz, Edgar Rodriguez can be contacted via phone (330) 364-7764.Contact Information
Primary practice address
715 E Shafer Ave
Dover OH 44622-2053
Phone: (330) 364-7764
Fax: (330) 343-8162
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 35043776 | Ohio |
Profile Details
| NPI number | 1275593907 |
|---|---|
| LBN Legal business name | Delacruz, Edgar Rodriguez |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 25th, 2006 |
| Last updated | Nov 16th, 2011 - about 13 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 | 1275593907 | NPPES |
| Ohio | MEDICAID | 0526112 |
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