Rodriguez, Pauline Eva

Rodriguez, Pauline Eva is an sole proprietor health care provider with primary practice located at 122 1St Ave Suite 201, Fairbanks AK 99701-4803. She recently has only one registered license in Agencies / Day Training, Developmentally Disabled Services, which is considered as her primary health care specialty. Rodriguez, Pauline Eva can be contacted via phone (907) 452-6434.

Contact Information

Primary practice address
122 1St Ave Suite 201 Fairbanks AK 99701-4803
Fax: (907) 451-6598
Website:

Health care specialties

SpecialtyCodeLicense #State
Agencies / Day Training, Developmentally Disabled Services 251C00000X 251C00000X Alaska

Profile Details

NPI number 1700199601
LBN Legal business name Rodriguez, Pauline Eva
Credentials MSVE
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 20th, 2010
Last updated Jul 20th, 2010 - about 14 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1700199601 NPPES
Alaska MEDICAID 251C00000X

Popular Providers