Rose, Rebecca Denise

Rose, Rebecca Denise is an individual health care provider with primary practice located at 1701 Main Ave Sw Suite G, Cullman AL 35055-5299. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Rose, Rebecca Denise can be contacted via phone (256) 775-3737.

Contact Information

Primary practice address
1701 Main Ave Sw Suite G Cullman AL 35055-5299
Fax: (256) 775-3738
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X OT2427 Alabama

Profile Details

NPI number 1174562607
LBN Legal business name Rose, Rebecca Denise
Credentials Occupational Therapist (OT)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 6th, 2006
Last updated Feb 15th, 2016 - about 8 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 1174562607 NPPES
Alabama MEDICAID 529917620
Alabama Other 1003819608

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