Rodriguez, Angel
Rodriguez, Angel is an individual health care provider with primary practice located at 401 Alcorn Dr Ste 1A, Corinth MS 38834-9071. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Phlebology. Allopathic & Osteopathic Physicians / Anesthesiology is his primary health care specialty. Rodriguez, Angel can be contacted via phone (662) 665-0605.Contact Information
Primary practice address
401 Alcorn Dr Ste 1A
Corinth MS 38834-9071
Phone: (662) 665-0605
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 11295 | Mississippi |
| Allopathic & Osteopathic Physicians / Phlebology | 202K00000X | 11295 | Mississippi |
Profile Details
| NPI number | 1356322051 |
|---|---|
| LBN Legal business name | Rodriguez, Angel |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 9th, 2005 |
| Last updated | Nov 28th, 2017 - about 8 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 | 1356322051 | NPPES |
| Mississippi | MEDICAID | 00015456 |
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