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:
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Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
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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