Rose, Donald David
Rose, Donald David is an sole proprietor health care provider with primary practice located at 521 Lake Christine Dr , Belleville IL 62221-5101. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Rose, Donald David can be contacted via phone (618) 277-9168.Contact Information
Primary practice address
521 Lake Christine Dr
Belleville IL 62221-5101
Phone: (618) 277-9168
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Nephrology | 207RN0300X | 036057334 | Illinois |
Profile Details
| NPI number | 1174505978 |
|---|---|
| LBN Legal business name | Rose, Donald David |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 17th, 2005 |
| Last updated | Apr 15th, 2019 - about 5 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 | 1174505978 | NPPES |
| Illinois | MEDICAID | 036057334 |
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