Rose, Jonathan Douglas

Rose, Jonathan Douglas is an sole proprietor health care provider with primary practice located at 615 Hampton Dr Unit A301, Venice CA 90291-2790. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology, which is considered as his primary health care specialty. Rose, Jonathan Douglas can be contacted via phone (310) 717-1494.

Contact Information

Primary practice address
615 Hampton Dr Unit A301 Venice CA 90291-2790
Phone: (310) 717-1494
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology 207ZP0101X 242646-1 New York

Profile Details

NPI number 1497804843
LBN Legal business name Rose, Jonathan Douglas
Credentials M.D., PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 8th, 2007
Last updated Jul 8th, 2007 - about 18 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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