Rodriguez, Benito B

Rodriguez, Benito B is an individual health care provider with primary practice located at 14502 W Meeker Blvd , Sun City West AZ 85375-5282. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty. Rodriguez, Benito B can be contacted via phone (623) 214-4000.

Contact Information

Primary practice address
14502 W Meeker Blvd Sun City West AZ 85375-5282
Phone: (623) 214-4000
Fax: (623) 214-4000
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 232 Montana
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 3813 Arizona

Profile Details

NPI number 1124064183
LBN Legal business name Rodriguez, Benito B
Credentials PA C
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 20th, 2006
Last updated Oct 15th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1124064183 NPPES
Montana MEDICAID 0435506

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