Rodriguez, Jack Joseph

Rodriguez, Jack Joseph is an sole proprietor health care provider with primary practice located at 106 Jefferson Davis Blvd Suite 120, Natchez MS 39120-5104. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as his primary health care specialty. Rodriguez, Jack Joseph can be contacted via phone (601) 442-9210.

Contact Information

Primary practice address
106 Jefferson Davis Blvd Suite 120 Natchez MS 39120-5104
Phone: (601) 442-9210
Fax: (601) 442-7409
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X 15252 Mississippi

Profile Details

NPI number 1184623886
LBN Legal business name Rodriguez, Jack Joseph
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 15th, 2005
Last updated Feb 1st, 2018 - about 7 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 1184623886 NPPES
Mississippi MEDICAID 09015568
Mississippi MEDICAID 00123444

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