Rose, Michael Ray

Rose, Michael Ray is an individual health care provider with primary practice located at 600 N Wolfe St , Baltimore MD 21287-0005. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Addiction Medicine. Allopathic & Osteopathic Physicians / Addiction Medicine is his primary health care specialty. Rose, Michael Ray can be contacted via phone (701) 261-8521.

Contact Information

Primary practice address
600 N Wolfe St Baltimore MD 21287-0005
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X D97715 Maryland
Allopathic & Osteopathic Physicians / Addiction Medicine 207RA0401X D97715 Maryland

Profile Details

NPI number 1205399730
LBN Legal business name Rose, Michael Ray
Credentials MD, MPH
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 11th, 2019
Last updated Aug 18th, 2023 - about 2 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 1205399730 NPPES
Other 0123456789 N/A

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