Stubbs, Rodriq E

Stubbs, Rodriq E is an individual health care provider with primary practice located at 133 Brookline Ave , Boston MA 02215-3904. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Adult Health. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Stubbs, Rodriq E can be contacted via phone (617) 559-8053.

Contact Information

Primary practice address
133 Brookline Ave Boston MA 02215-3904
Phone: (617) 559-8053
Fax: (617) 421-3487
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 261397 Massachusetts
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 261397 Massachusetts

Profile Details

NPI number 1235190810
LBN Legal business name Stubbs, Rodriq E
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 31st, 2006
Last updated Jul 8th, 2007 - about 18 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 1235190810 NPPES
Massachusetts Other AA18700 HARVARD PILGRIM
Massachusetts Other NP4757 HARVARD PILGRIM
Massachusetts MEDICAID 0798801 HARVARD PILGRIM

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