Rodriguez, Ubaldo R
Rodriguez, Ubaldo R is an individual health care provider with primary practice located at 1600 Heritage Lndg Ste 215, Saint Peters MO 63303-8489. He recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as his primary health care specialty. Rodriguez, Ubaldo R can be contacted via phone (636) 939-4200.Contact Information
Primary practice address
1600 Heritage Lndg Ste 215
Saint Peters MO 63303-8489
Phone: (636) 939-4200
Fax: (636) 939-4204
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / General Practice | 208D00000X | 29894 | Missouri |
Profile Details
| NPI number | 1649231275 |
|---|---|
| LBN Legal business name | Rodriguez, Ubaldo R |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 31st, 2006 |
| Last updated | Jul 22nd, 2013 - about 11 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 | 1649231275 | NPPES |
| Missouri | MEDICAID | 505243003 |
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