Nellas, Rodolfo C
Nellas, Rodolfo C is an sole proprietor health care provider with primary practice located at 17505 N 79Th Ave Ste 201 , Glendale AZ 85308. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Nellas, Rodolfo C can be contacted via phone (623) 236-9295.Contact Information
Primary practice address
17505 N 79Th Ave Ste 201
Glendale AZ 85308
Phone: (623) 236-9295
Fax: (623) 236-8819
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 12395 | Arizona |
Profile Details
| NPI number | 1609868611 |
|---|---|
| LBN Legal business name | Nellas, Rodolfo C |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 16th, 2005 |
| Last updated | Oct 18th, 2017 - about 8 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 | 1609868611 | NPPES |
| Arizona | Other | 04304 | BLUE CROSS BLUE SHIELD-AZ |
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