Rose, Brent Shane

Rose, Brent Shane is an individual health care provider with primary practice located at 3855 Health Sciences Dr , La Jolla CA 92093-1503. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Radiation Oncology. Allopathic & Osteopathic Physicians / Radiation Oncology is his primary health care specialty. Rose, Brent Shane can be contacted via phone (619) 341-3899.

Contact Information

Primary practice address
3855 Health Sciences Dr La Jolla CA 92093-1503
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 248551 Massachusetts
Allopathic & Osteopathic Physicians / Radiation Oncology 2085R0001X 248551 Massachusetts

Profile Details

NPI number 1518250869
LBN Legal business name Rose, Brent Shane
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 19th, 2011
Last updated Apr 4th, 2016 - about 8 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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