Rose, Jeffrey S

Rose, Jeffrey S is an individual health care provider with primary practice located at 4700 Point Fosdick Dr Nw Ste 203B, Gig Harbor WA 98335-1706. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Cardiovascular Disease is his primary health care specialty. Rose, Jeffrey S can be contacted via phone (253) 857-1130.

Contact Information

Primary practice address
4700 Point Fosdick Dr Nw Ste 203B Gig Harbor WA 98335-1706
Phone: (253) 857-1130
Fax: (253) 857-1121
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X MD00022810 Washington
Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology 207RC0001X MD00022810 Washington
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MD00022810 Washington

Profile Details

NPI number 1396749701
LBN Legal business name Rose, Jeffrey S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 13th, 2005
Last updated Dec 6th, 2012 - about 12 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 1396749701 NPPES
Washington Other 0247344 STATE L&I
Washington Other 0249912 STATE L&I
Washington Other G8906702 STATE L&I
Washington Other 0150352 STATE L&I
Washington Other 060065814 STATE L&I
Washington Other 0257325 STATE L&I
Washington Other 0290111 STATE L&I
Washington Other P00765954 STATE L&I
Washington Other 8950251 STATE L&I
Washington Other 5406RO STATE L&I
Washington Other 634841-001 STATE L&I
Washington Other P00826850 STATE L&I
Washington MEDICAID 1005040 STATE L&I
Washington Other 0245392 STATE L&I
Washington Other 0245561 STATE L&I
Washington Other 0301000 STATE L&I

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