Roose, Ellen B

Roose, Ellen B is an individual health care provider with primary practice located at 4949 Westown Pkwy Suite 140, West Des Moines IA 50266-6702. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Roose, Ellen B can be contacted via phone (515) 223-5466.

Contact Information

Primary practice address
4949 Westown Pkwy Suite 140 West Des Moines IA 50266-6702
Phone: (515) 223-5466
Fax: (515) 223-5405
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 26536 Iowa

Profile Details

NPI number 1497721245
LBN Legal business name Roose, Ellen B
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 23rd, 2006
Last updated Jun 25th, 2009 - about 16 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 1497721245 NPPES
Iowa Other 26536 WELLMARK BCBS
Iowa MEDICAID 0045666 WELLMARK BCBS

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