Rodriguez, Evan

Rodriguez, Evan is an individual health care provider with primary practice located at 200 Bloomfield Ave , West Hartford CT 06117-1545. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as his primary health care specialty. Rodriguez, Evan can be contacted via phone (860) 786-7864.

Contact Information

Primary practice address
200 Bloomfield Ave West Hartford CT 06117-1545
Phone: (860) 786-7864
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X 001165 Connecticut

Profile Details

NPI number 1972130391
LBN Legal business name Rodriguez, Evan
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 25th, 2020
Last updated Mar 25th, 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.

Request for update

Popular Providers