Rose Internal Medicine, P.C.

LBN: Rose Internal Medicine, P.C.
Rose Internal Medicine, P.C. is an health care organization with primary practice located at 2205 W Sudbury Dr Suite A, Bloomington IN 47403-3737. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty. Rose Internal Medicine, P.C. can be contacted via phone (812) 961-1540, or through Rose, Becky via phone (812) 961-6961.

Contact Information

Primary practice address
2205 W Sudbury Dr Suite A Bloomington IN 47403-3737
Fax: (812) 961-1535
Website:
Authorized official contact:
Name: Rose, Becky

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 01054413A Indiana

Profile Details

NPI number 1992796718
LBN Legal business name Rose Internal Medicine, P.C.
DBA Doing business as
Authorized official Rose, Becky
Entity Organization
Organization subpart 1 No
Enumeration date Nov 1st, 2005
Last updated Sep 22nd, 2011 - about 13 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1992796718 NPPES
Indiana MEDICAID 200513720A
Indiana Other DD5526

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