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
Phone: (619) 341-3899
Fax:
Website:
Health care specialties
Specialty | Code | License # | 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 9 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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