Rosa, Don K.

Rosa, Don K. is an individual health care provider with primary practice located at 603 Hospital Dr Suite #2, Mountain Home AR 72653-2914. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Rosa, Don K. can be contacted via phone (870) 425-5955.

Contact Information

Primary practice address
603 Hospital Dr Suite #2 Mountain Home AR 72653-2914
Phone: (870) 425-5955
Fax: (870) 425-5955
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 1853 Arkansas

Profile Details

NPI number 1457396996
LBN Legal business name Rosa, Don K.
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 18th, 2006
Last updated Aug 6th, 2012 - about 13 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 1457396996 NPPES
Arkansas MEDICAID 134237608

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