Rose, John Creighton

Rose, John Creighton is an sole proprietor health care provider with primary practice located at 14030 Ne 24Th St Ste 104 , Bellevue WA 98007-3731. He recently has only one registered license in Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry, which is considered as his primary health care specialty. Rose, John Creighton can be contacted via phone (253) 341-6178.

Contact Information

Primary practice address
14030 Ne 24Th St Ste 104 Bellevue WA 98007-3731
Phone: (253) 341-6178
Fax: (425) 458-9631
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry 2084P0804X MD00031733 Washington

Profile Details

NPI number 1497883326
LBN Legal business name Rose, John Creighton
Credentials PH.D., M.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 1st, 2007
Last updated Oct 16th, 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 1497883326 NPPES
Washington MEDICAID 8208282

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