La Rose, Carol Florence

La Rose, Carol Florence is an individual health care provider with primary practice located at 2741 Debarr Rd Ste C315 , Anchorage AK 99508-2992. She recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot Surgery, which is considered as her primary health care specialty. La Rose, Carol Florence can be contacted via phone (907) 562-4958.

Contact Information

Primary practice address
2741 Debarr Rd Ste C315 Anchorage AK 99508-2992
Fax: (907) 562-5195
Website:

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot Surgery 213ES0131X 5466 Alaska

Profile Details

NPI number 1770611667
LBN Legal business name La Rose, Carol Florence
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 1st, 2007
Last updated Jul 8th, 2007 - about 17 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 1770611667 NPPES
Alaska MEDICAID PD3191

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