Rodriguez, Mirella Ivellise
Rodriguez, Mirella Ivellise is an sole proprietor health care provider with primary practice located at 2135 Woodburn Dr Se , Grand Rapids MI 49546-4385. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Counselor, which is considered as her primary health care specialty. Rodriguez, Mirella Ivellise can be contacted via phone (616) 340-5387.Contact Information
Primary practice address
2135 Woodburn Dr Se
Grand Rapids MI 49546-4385
Phone: (616) 340-5387
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Counselor | 225C00000X |
Profile Details
| NPI number | 1497006837 |
|---|---|
| LBN Legal business name | Rodriguez, Mirella Ivellise |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 25th, 2012 |
| Last updated | Sep 25th, 2012 - about 12 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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