Roden, Jon
Roden, Jon is an individual health care provider with primary practice located at 1007 Goodyear Ave , Gadsden AL 35903-1195. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Roden, Jon can be contacted via phone (256) 494-4768.Contact Information
Primary practice address
1007 Goodyear Ave
Gadsden AL 35903-1195
Phone: (256) 494-4768
Fax: (256) 494-4793
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 27589 | Alabama |
Profile Details
| NPI number | 1023169612 |
|---|---|
| LBN Legal business name | Roden, Jon |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 12th, 2007 |
| Last updated | Nov 5th, 2015 - about 9 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 | 1023169612 | NPPES |
| Alabama | MEDICAID | 1023169612 |
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