Rodriguez, Jorge

Rodriguez, Jorge is an sole proprietor health care provider with primary practice located at 12359 Sunrise Valley Dr Suite #220, Reston VA 20191-3462. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical Neuropsychologist, which is considered as his primary health care specialty. Rodriguez, Jorge can be contacted via phone (703) 476-9500.

Contact Information

Primary practice address
12359 Sunrise Valley Dr Suite #220 Reston VA 20191-3462
Phone: (703) 476-9500
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Neuropsychologist 103G00000X Virginia

Profile Details

NPI number 1992875322
LBN Legal business name Rodriguez, Jorge
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 9th, 2006
Last updated Dec 5th, 2007 - about 17 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 1992875322 NPPES
District of Columbia Other 46810001 CF BCBS DC
District of Columbia Other 283186 CF BCBS DC
District of Columbia Other 1230161 CF BCBS DC
District of Columbia Other 334206 CF BCBS DC

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