Rose, Robert Louis

Rose, Robert Louis is an individual health care provider with primary practice located at 15 Sw 20Th Avenue , Battle Ground WA 98604. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Rose, Robert Louis can be contacted via phone (360) 687-5665.

Contact Information

Primary practice address
15 Sw 20Th Avenue Battle Ground WA 98604
Phone: (360) 687-5665
Fax: (360) 687-5053
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 4539 Washington

Profile Details

NPI number 1053531582
LBN Legal business name Rose, Robert Louis
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 26th, 2007
Last updated Jul 8th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1053531582 NPPES
Washington Other 1043317449 CORPORATE NPI

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