Rodriguez, Cheryl A

Rodriguez, Cheryl A is an sole proprietor health care provider with primary practice located at 720 Chicago St , Racine WI 53405-2648. She recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as her primary health care specialty. Rodriguez, Cheryl A can be contacted via phone (262) 634-3558.

Contact Information

Primary practice address
720 Chicago St Racine WI 53405-2648
Phone: (262) 634-3558
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X 11232-031 Wisconsin

Profile Details

NPI number 1669528873
LBN Legal business name Rodriguez, Cheryl A
Credentials Licensed Practical Nurse (LPN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 28th, 2007
Last updated Jul 8th, 2007 - about 18 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 1669528873 NPPES
Wisconsin MEDICAID 3927648400

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