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
Fax: (215) 662-7200
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1831463504 NPPES
Illinois MEDICAID 1831463504

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