Rose, C Mark
Rose, C Mark is an individual health care provider with primary practice located at 902 Wollard Blvd , Richmond MO 64085. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Rose, C Mark can be contacted via phone (816) 776-2201.Contact Information
Primary practice address
902 Wollard Blvd
Richmond MO 64085
Phone: (816) 776-2201
Fax: (816) 480-4515
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | R8G83 | Missouri |
Profile Details
| NPI number | 1265408215 |
|---|---|
| LBN Legal business name | Rose, C Mark |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 28th, 2006 |
| Last updated | Jun 13th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1265408215 | NPPES |
| Missouri | Other | 13238051 | BCBS |
| Missouri | MEDICAID | 242411015 | BCBS |
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