Rose, Martha Suzanne

Rose, Martha Suzanne is an individual health care provider with primary practice located at 68353 Bannock Uniontown Rd , Saint Clairsville OH 43950-9736. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Rose, Martha Suzanne can be contacted via phone (740) 695-9344.

Contact Information

Primary practice address
68353 Bannock Uniontown Rd Saint Clairsville OH 43950-9736
Phone: (740) 695-9344
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X RN.397302 Ohio
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X APRN.CNP.0027774 Ohio

Profile Details

NPI number 1346590361
LBN Legal business name Rose, Martha Suzanne
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 17th, 2012
Last updated Dec 6th, 2021 - about 3 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 1346590361 NPPES
Ohio MEDICAID 164W00000X

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