Rose, Edward A.

Rose, Edward A. is an individual health care provider with primary practice located at 401 Bicentennial Way Suite 130, Santa Rosa CA 95403-2149. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Rose, Edward A. can be contacted via phone (707) 393-4152.

Contact Information

Primary practice address
401 Bicentennial Way Suite 130 Santa Rosa CA 95403-2149
Phone: (707) 393-4152
Fax: (707) 393-4558
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X G88082 California

Profile Details

NPI number 1750354106
LBN Legal business name Rose, Edward A.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 8th, 2006
Last updated Aug 19th, 2008 - about 16 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 1750354106 NPPES
Michigan MEDICAID 104469102

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