Dela Rosa, Maria C.

Dela Rosa, Maria C. is an individual health care provider with primary practice located at 1965 S Fremont Ave Suite 300, Springfield MO 65804-2201. She recently has only one registered license in Allopathic & Osteopathic Physicians / Geriatric Medicine, which is considered as her primary health care specialty. Dela Rosa, Maria C. can be contacted via phone (417) 820-3760.

Contact Information

Primary practice address
1965 S Fremont Ave Suite 300 Springfield MO 65804-2201
Phone: (417) 820-3760
Fax: (417) 820-3770
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Geriatric Medicine 207RG0300X 117175 Missouri

Profile Details

NPI number 1114069168
LBN Legal business name Dela Rosa, Maria C.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 13th, 2007
Last updated May 3rd, 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1114069168 NPPES
Missouri MEDICAID 203806203
Missouri MEDICAID 140715001
Missouri Other 98644

Popular Providers