Rodriguez, Jason Allen

Rodriguez, Jason Allen is an individual health care provider with primary practice located at 2580 Constitution Blvd , Beaver Falls PA 15010-1294. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Rodriguez, Jason Allen can be contacted via phone (724) 773-6844.

Contact Information

Primary practice address
2580 Constitution Blvd Beaver Falls PA 15010-1294
Phone: (724) 773-6844
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD417519 Pennsylvania

Profile Details

NPI number 1962428094
LBN Legal business name Rodriguez, Jason Allen
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 14th, 2006
Last updated Sep 16th, 2015 - about 9 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 1962428094 NPPES
Pennsylvania MEDICAID 0018919340002

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