Rodriguez, Michael J.

Rodriguez, Michael J. is an individual health care provider with primary practice located at 822 Clark St. Nssc Medical Suite 400, Pearl Harbor HI 96860. He recently has only one registered license in Other Service Providers / Independent Duty Corpsman, which is considered as his primary health care specialty. Rodriguez, Michael J. can be contacted via phone (808) 473-3771.

Contact Information

Primary practice address
822 Clark St. Nssc Medical Suite 400 Pearl Harbor HI 96860
Phone: (808) 473-3771
Fax: (808) 473-3109
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Independent Duty Corpsman 1710I1002X

Profile Details

NPI number 1275860603
LBN Legal business name Rodriguez, Michael J.
Credentials SUBMARINE IDC
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 5th, 2009
Last updated Nov 5th, 2009 - about 15 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 1275860603 NPPES
Illinois Other 7383 TRICARE

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