Rose, Ann W
Rose, Ann W is an individual health care provider with primary practice located at 10 Coburg Rd. #201, Eugene OR 97401. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Rose, Ann W can be contacted via phone (541) 726-4686.Contact Information
Primary practice address
10 Coburg Rd. #201
Eugene OR 97401
Phone: (541) 726-4686
Fax: (541) 726-5056
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | PA00290 | Oregon |
Profile Details
| NPI number | 1285686097 |
|---|---|
| LBN Legal business name | Rose, Ann W |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 17th, 2006 |
| Last updated | Dec 14th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1285686097 | NPPES |
| Oregon | MEDICAID | 136523 |
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