Rodriguez, Kathleen Marie
Rodriguez, Kathleen Marie is an individual health care provider with primary practice located at 12122 Heritage Park Cir # A , Silver Spring MD 20906-4554. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Rodriguez, Kathleen Marie can be contacted via phone (301) 942-6006.Contact Information
Primary practice address
12122 Heritage Park Cir # A
Silver Spring MD 20906-4554
Phone: (301) 942-6006
Fax: (301) 942-4513
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 14423 | Maryland |
Profile Details
| NPI number | 1548313661 |
|---|---|
| LBN Legal business name | Rodriguez, Kathleen Marie |
| Credentials | Physical Therapist (PT) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 20th, 2007 |
| Last updated | Jul 8th, 2007 - about 18 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1548313661 | NPPES |
| Maryland | Other | A690PE A692KM | CAREFIRST BCBS |
| Maryland | Other | S958 002 | CAREFIRST BCBS |
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