Rose, Jerri A
Rose, Jerri A is an individual health care provider with primary practice located at 11100 Euclid Ave , Cleveland OH 44106-1716. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine, Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Anesthesiology. Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine is her primary health care specialty. Rose, Jerri A can be contacted via phone (216) 844-7700.Contact Information
Primary practice address
11100 Euclid Ave
Cleveland OH 44106-1716
Phone: (216) 844-7700
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine | 2080P0204X | 35-089194 | Ohio |
Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 35-089194 | Ohio |
Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 35-089194 | Ohio |
Profile Details
NPI number | 1750422093 |
---|---|
LBN Legal business name | Rose, Jerri A |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Feb 9th, 2007 |
Last updated | Feb 21st, 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1750422093 | NPPES |
Ohio | MEDICAID | 2721362 | |
Ohio | MEDICAID | 1026661410001 |
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