Rodrigues, Ryan Edward
Rodrigues, Ryan Edward is an sole proprietor health care provider with primary practice located at 792 S Main St Ste 102 , Mansfield MA 02048-3137. He recently has only one registered license in Behavioral Health & Social Service Providers / Counselor, which is considered as his primary health care specialty. Rodrigues, Ryan Edward can be contacted via phone (774) 331-8224.Contact Information
Primary practice address
792 S Main St Ste 102
Mansfield MA 02048-3137
Phone: (774) 331-8224
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Counselor | 101Y00000X | Massachusetts | |
| Behavioral Health & Social Service Providers / Counselor | 101Y00000X |
Profile Details
| NPI number | 1407407620 |
|---|---|
| LBN Legal business name | Rodrigues, Ryan Edward |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 28th, 2019 |
| Last updated | Sep 28th, 2019 - about 5 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 | 1407407620 | NPPES |
| Massachusetts | Other | N0172263001 | DIRECT CONNECTOR CARE 2 |
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