Rodriguez, David Jose
Rodriguez, David Jose is an individual health care provider with primary practice located at 24211 Little Mack Ave , Saint Clair Shores MI 48080-1151. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist, Allopathic & Osteopathic Physicians / Interventional Cardiology. Allopathic & Osteopathic Physicians / Interventional Cardiology is his primary health care specialty. Rodriguez, David Jose can be contacted via phone (586) 498-0440.Contact Information
Primary practice address
24211 Little Mack Ave
Saint Clair Shores MI 48080-1151
Phone: (586) 498-0440
Fax: (586) 498-0401
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 4301083605 | Michigan |
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | 4301083605 | Michigan |
| Allopathic & Osteopathic Physicians / Interventional Cardiology | 207RI0011X | 4301083605 | Michigan |
Profile Details
| NPI number | 1306963335 |
|---|---|
| LBN Legal business name | Rodriguez, David Jose |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 23rd, 2007 |
| Last updated | Dec 1st, 2020 - about 4 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 | 1306963335 | NPPES |
| Michigan | Other | 1306963335 | NPI # |
| Michigan | MEDICAID | 4985319-10 | NPI # |
| Michigan | Other | 70-0-F32947-0 | NPI # |
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