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
Phone: (907) 452-6434
Fax: (907) 451-6598
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1700199601 | NPPES |
Alaska | MEDICAID | 251C00000X |
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