Rose, Richard K.T.
Rose, Richard K.T. is an individual health care provider with primary practice located at 9961 Sierra Ave Mob # 3, Fontana CA 92335-6720. He recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Adult Reconstructive Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Sports Medicine, Allopathic & Osteopathic Physicians / Orthopaedic Trauma. Allopathic & Osteopathic Physicians / Adult Reconstructive Orthopaedic Surgery is his primary health care specialty. Rose, Richard K.T. can be contacted via phone (909) 427-4549.Contact Information
Primary practice address
9961 Sierra Ave Mob # 3
Fontana CA 92335-6720
Phone: (909) 427-4549
Fax: (909) 427-7086
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | MD12937 | Hawaii |
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | A71631 | California |
| Allopathic & Osteopathic Physicians / Adult Reconstructive Orthopaedic Surgery | 207XS0114X | MD12937 | Hawaii |
| Allopathic & Osteopathic Physicians / Sports Medicine | 207XX0005X | MD12937 | Hawaii |
| Allopathic & Osteopathic Physicians / Orthopaedic Trauma | 207XX0801X | MD12937 | Hawaii |
| Allopathic & Osteopathic Physicians / Adult Reconstructive Orthopaedic Surgery | 207XS0114X | A71631 | California |
Profile Details
| NPI number | 1053380634 |
|---|---|
| LBN Legal business name | Rose, Richard K.T. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 16th, 2006 |
| Last updated | Dec 2nd, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1053380634 | NPPES |
| Hawaii | Other | MD12937-01 | QUEENSHEALTHCARE/MDX |
| Hawaii | Other | 247361 | QUEENSHEALTHCARE/MDX |
| Hawaii | Other | 084813001 | QUEENSHEALTHCARE/MDX |
| Hawaii | MEDICAID | 56682001 | QUEENSHEALTHCARE/MDX |
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