Rodriguez, Maria A

Rodriguez, Maria A is an sole proprietor health care provider with primary practice located at 417 W 13Th St , Pueblo CO 81003-2703. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Rodriguez, Maria A can be contacted via phone (719) 544-0877.

Contact Information

Primary practice address
417 W 13Th St Pueblo CO 81003-2703
Fax: (719) 544-2033
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 739 Colorado

Profile Details

NPI number 1437191384
LBN Legal business name Rodriguez, Maria A
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 12th, 2006
Last updated Nov 1st, 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 1437191384 NPPES
Colorado MEDICAID 69381810

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