Rose, John W

Rose, John W is an individual health care provider with primary practice located at 945 Goethals Drive Suite 200, Richland WA 99352. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as his primary health care specialty. Rose, John W can be contacted via phone (509) 942-3627.

Contact Information

Primary practice address
945 Goethals Drive Suite 200 Richland WA 99352
Fax: (509) 942-2340
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X AP30003919 Washington

Profile Details

NPI number 1306859962
LBN Legal business name Rose, John W
Credentials ARNP CNM
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 14th, 2006
Last updated Jul 12th, 2012 - about 13 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 1306859962 NPPES
Washington Other G8896839 MEDICARE
Washington MEDICAID 9618257 MEDICARE

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