Mr Jack Paul Rodriguez, LICENSED MASSAGE THE is a
Massage Therapist based in White Oak, Pennsylvania. Mr Jack Paul Rodriguez is licensed to practice in Pennsylvania (license number MSG004871) and his current practice location is
3045 Jacks Run Road, Chiropractic Offices-consales Health Center, White Oak, Pennsylvania. He can be reached at his office (for appointments etc.) via phone at
(412) 678-9123.
NPI number for Mr Jack Paul Rodriguez is 1205196532 and his current mailing address is 3787 Kelly Hollow Road, Monongahela, Pennsylvania. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1205196532.
Healthcare Provider's Profile
Full Name | Mr Jack Paul Rodriguez |
---|
Gender | Male |
---|
Speciality | Massage Therapist |
---|
Location | 3045 Jacks Run Road, White Oak, Pennsylvania |
---|
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1205196532
- Provider Enumeration Date: 05/21/2012
- Last Update Date: 05/21/2012
Medical Identifiers
Medical identifiers for Mr Jack Paul Rodriguez such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1205196532 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
225700000X | Massage Therapist | MSG004871 (Pennsylvania) | Primary |
225700000X | Massage Therapist | (* (Not Available)) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Jack Paul Rodriguez is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mr Jack Paul Rodriguez, LICENSED MASSAGE THE 3787 Kelly Hollow Road, Monongahela, PA 15063-4522 Ph: (724) 258-4966 | Mr Jack Paul Rodriguez, LICENSED MASSAGE THE 3045 Jacks Run Road, Chiropractic Offices-consales Health Center, White Oak, PA 15131 Ph: (412) 678-9123 |
Reviews and Comments