Rosa, Louis

Rosa, Louis is an individual health care provider with primary practice located at 4381 S Eason Blvd , Tupelo MS 38801-6583. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurological Surgery, which is considered as his primary health care specialty. Rosa, Louis can be contacted via phone (662) 377-5700.

Contact Information

Primary practice address
4381 S Eason Blvd Tupelo MS 38801-6583
Fax: (662) 377-5720
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurological Surgery 207T00000X 16496 Mississippi

Profile Details

NPI number 1275597288
LBN Legal business name Rosa, Louis
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 14th, 2006
Last updated Feb 18th, 2011 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1275597288 NPPES
Mississippi MEDICAID 08878817

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