Malkovich, Rose A

Malkovich, Rose A is an individual health care provider with primary practice located at 3657 Minnehaha Ave , Minneapolis MN 55406-2628. She recently has only one registered license in Dental Providers / Dental Assistant, which is considered as her primary health care specialty. Malkovich, Rose A can be contacted via phone (612) 721-1689.

Contact Information

Primary practice address
3657 Minnehaha Ave Minneapolis MN 55406-2628
Phone: (612) 721-1689
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dental Assistant 126800000X A4520 Minnesota

Profile Details

NPI number 1497061766
LBN Legal business name Malkovich, Rose A
Credentials CLDA
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 25th, 2010
Last updated Aug 25th, 2010 - about 14 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

Popular Providers