Rodriguez, Edwin J

Rodriguez, Edwin J is an individual health care provider with primary practice located at 4643 S Woodhaven Way , Billings MT 59106-2493. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Rodriguez, Edwin J can be contacted via phone (605) 920-1965.

Contact Information

Primary practice address
4643 S Woodhaven Way Billings MT 59106-2493
Phone: (605) 920-1965
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 5369 South Dakota

Profile Details

NPI number 1538162003
LBN Legal business name Rodriguez, Edwin J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 27th, 2005
Last updated Jul 8th, 2007 - about 17 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 1538162003 NPPES
South Dakota MEDICAID 5603970

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