Rodriguez, Jayson Divino
Rodriguez, Jayson Divino is an sole proprietor health care provider with primary practice located at 1501 Kings Hwy , Shreveport LA 71103-4228. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Rodriguez, Jayson Divino can be contacted via phone (318) 675-5053.Contact Information
Primary practice address
1501 Kings Hwy
Shreveport LA 71103-4228
Phone: (318) 675-5053
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | LL32639 | South Carolina |
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | 301146 | Louisiana |
Profile Details
| NPI number | 1417278458 |
|---|---|
| LBN Legal business name | Rodriguez, Jayson Divino |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 14th, 2010 |
| Last updated | Jun 21st, 2017 - about 8 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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