Rodriguez, Amilcar Ivan

Rodriguez, Amilcar Ivan is an individual health care provider with primary practice located at 1975 Combat Medic Dr , Fort Bragg NC 28310-0001. He recently has only one registered license in Other Service Providers / Independent Duty Corpsman, which is considered as his primary health care specialty. Rodriguez, Amilcar Ivan can be contacted via phone (910) 396-4240.

Contact Information

Primary practice address
1975 Combat Medic Dr Fort Bragg NC 28310-0001
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Independent Duty Corpsman 1710I1002X North Carolina

Profile Details

NPI number 1194077677
LBN Legal business name Rodriguez, Amilcar Ivan
Credentials SOIDC
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 9th, 2012
Last updated Oct 9th, 2012 - about 12 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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