Rose, Mary Hodgson
Rose, Mary Hodgson is an individual health care provider with primary practice located at 5477 Campbell Lake Road , Anacortes WA 98221. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Rose, Mary Hodgson can be contacted via phone (360) 293-2176.Contact Information
Primary practice address
5477 Campbell Lake Road
Anacortes WA 98221
Phone: (360) 293-2176
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | MD00016307 | Washington |
Profile Details
| NPI number | 1538352810 |
|---|---|
| LBN Legal business name | Rose, Mary Hodgson |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 21st, 2007 |
| Last updated | Aug 21st, 2007 - about 17 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 | 1538352810 | NPPES |
| Washington | MEDICAID | WA1018514 |
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