Rodriguez, Carlos Jose
Rodriguez, Carlos Jose is an sole proprietor health care provider with primary practice located at 1301 W 17Th Street , Pueblo CO 81003-1915. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. Rodriguez, Carlos Jose can be contacted via phone (719) 545-5211.Contact Information
Primary practice address
1301 W 17Th Street
Pueblo CO 81003-1915
Phone: (719) 545-5211
Fax: (719) 545-1962
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | 1004 | Colorado |
Profile Details
| NPI number | 1841304185 |
|---|---|
| LBN Legal business name | Rodriguez, Carlos Jose |
| Credentials | PHD |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 17th, 2006 |
| Last updated | Feb 28th, 2008 - about 16 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 | 1841304185 | NPPES |
| Colorado | MEDICAID | 07109952 | |
| Colorado | MEDICAID | 007928 |
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