Rodriguez, Marinilda
Rodriguez, Marinilda is an sole proprietor health care provider with primary practice located at 101 S 17Th St , Allentown PA 18104-6704. She recently has 5 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine, Podiatric Medicine & Surgery Service Providers / Radiology, Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, Podiatric Medicine & Surgery Service Providers / Foot Surgery, Podiatric Medicine & Surgery Service Providers / Podiatrist. Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery is her primary health care specialty. Rodriguez, Marinilda can be contacted via phone (484) 664-2170.Contact Information
Primary practice address
101 S 17Th St
Allentown PA 18104-6704
Phone: (484) 664-2170
Fax: (484) 664-2171
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine | 213EP1101X | SC-004807 | Pennsylvania |
Podiatric Medicine & Surgery Service Providers / Radiology | 213ER0200X | SC-004807 | Pennsylvania |
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery | 213ES0103X | SC-004807 | Pennsylvania |
Podiatric Medicine & Surgery Service Providers / Foot Surgery | 213ES0131X | SC-004807 | Pennsylvania |
Podiatric Medicine & Surgery Service Providers / Podiatrist | 213E00000X | SC004807 | Pennsylvania |
Profile Details
NPI number | 1710972716 |
---|---|
LBN Legal business name | Rodriguez, Marinilda |
Credentials | |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Sep 15th, 2005 |
Last updated | Apr 15th, 2008 - about 16 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 | 1710972716 | NPPES |
Other | 50056100 | CAPITAL BLUE CROSS | |
Other | 0123110 | CAPITAL BLUE CROSS | |
Other | INDEPENDENCE BLUE CR | CAPITAL BLUE CROSS | |
Other | 101450010 0001 | CAPITAL BLUE CROSS | |
MEDICAID | 1014500100001 | CAPITAL BLUE CROSS | |
Other | 1761920 | CAPITAL BLUE CROSS | |
Other | 5669603 | CAPITAL BLUE CROSS |
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