Rodriguez, Keila
Rodriguez, Keila is an individual health care provider with primary practice located at 19 Tacoma St , Worcester MA 01605-3516. She recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as her primary health care specialty. Rodriguez, Keila can be contacted via phone (508) 852-1805.Contact Information
Primary practice address
19 Tacoma St
Worcester MA 01605-3516
Phone: (508) 852-1805
Fax: (508) 853-8593
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Nursing Service Providers / Licensed Practical Nurse | 164W00000X | 65763 | Massachusetts |
Profile Details
NPI number | 1689881526 |
---|---|
LBN Legal business name | Rodriguez, Keila |
Credentials | Licensed Practical Nurse (LPN) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | May 17th, 2007 |
Last updated | Jul 9th, 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1689881526 | NPPES |
Massachusetts | MEDICAID | 1301071 |
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