Rose, Bryan

Rose, Bryan is an individual health care provider with primary practice located at 8142 S 68Th East Ave , Tulsa OK 74133-4177. He recently has only one registered license in Technologists, Technicians & Other Technical Service Providers / Radiologic Technologist, which is considered as his primary health care specialty. Rose, Bryan can be contacted via phone (918) 551-6787.

Contact Information

Primary practice address
8142 S 68Th East Ave Tulsa OK 74133-4177
Phone: (918) 551-6787
Fax: (918) 551-6787
Website:
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Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Radiologic Technologist 247100000X

Profile Details

NPI number 1477944148
LBN Legal business name Rose, Bryan
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 16th, 2015
Last updated Feb 18th, 2015 - about 10 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 1477944148 NPPES
Oklahoma MEDICAID 200497250A

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