Rodriguez, Evan M
Rodriguez, Evan M is an sole proprietor health care provider with primary practice located at 6511 Springbrook Ave , Rhinebeck NY 12572. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Rodriguez, Evan M can be contacted via phone (845) 867-3001.Contact Information
Primary practice address
6511 Springbrook Ave
Rhinebeck NY 12572
Phone: (845) 867-3001
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 267963 | New York |
Profile Details
| NPI number | 1356576193 |
|---|---|
| LBN Legal business name | Rodriguez, Evan M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 22nd, 2009 |
| Last updated | May 12th, 2014 - about 11 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 | 1356576193 | NPPES |
| New York | MEDICAID | 03627410 |
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