Rodriguez Alzate, Jenny Paola
Rodriguez Alzate, Jenny Paola is an individual health care provider with primary practice located at 3400 Spruce St , Philadelphia PA 19104-4238. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Geriatric Psychiatry, Allopathic & Osteopathic Physicians / Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is her primary health care specialty. Rodriguez Alzate, Jenny Paola can be contacted via phone (215) 662-7119.Contact Information
Primary practice address
3400 Spruce St
Philadelphia PA 19104-4238
Phone: (215) 662-7119
Fax: (215) 662-7200
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Geriatric Psychiatry | 2084P0805X | MD470019 | Pennsylvania |
Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | MD470019 | Pennsylvania |
Profile Details
NPI number | 1831463504 |
---|---|
LBN Legal business name | Rodriguez Alzate, Jenny Paola |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Feb 28th, 2012 |
Last updated | Aug 5th, 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1831463504 | NPPES |
Illinois | MEDICAID | 1831463504 |
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