Rodriguez, Jorge Luis

Rodriguez, Jorge Luis is an individual health care provider with primary practice located at 1000 Dupont Rd Suite A, Louisville KY 40207-4611. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Surgical Critical Care. Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. Rodriguez, Jorge Luis can be contacted via phone (502) 899-6150.

Contact Information

Primary practice address
1000 Dupont Rd Suite A Louisville KY 40207-4611
Phone: (502) 899-6150
Fax: (502) 891-6368
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 23096 Kentucky
Allopathic & Osteopathic Physicians / Surgical Critical Care 2086S0102X 23096 Kentucky

Profile Details

NPI number 1023088911
LBN Legal business name Rodriguez, Jorge Luis
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 24th, 2006
Last updated Jun 15th, 2024 - about 3 months 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 1023088911 NPPES
Indiana MEDICAID 100386510
Indiana MEDICAID 64042906
Indiana Other 1153806

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