Rose, Roxanne Mae
Rose, Roxanne Mae is an sole proprietor health care provider with primary practice located at 217 Grandview Ave , Devils Lake ND 58301-4123. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as her primary health care specialty. Rose, Roxanne Mae can be contacted via phone (701) 662-5590.Contact Information
Primary practice address
217 Grandview Ave
Devils Lake ND 58301-4123
Phone: (701) 662-5590
Fax: (701) 665-3252
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | 2096 | North Dakota |
Profile Details
| NPI number | 1124084942 |
|---|---|
| LBN Legal business name | Rose, Roxanne Mae |
| Credentials | PHD |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 21st, 2006 |
| Last updated | Feb 2nd, 2012 - about 12 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 | 1124084942 | NPPES |
| North Dakota | MEDICAID | 19124 | |
| North Dakota | Other | 23117 | |
| North Dakota | Other | 24043 | |
| North Dakota | MEDICAID | 181620900 | |
| North Dakota | Other | 284K8DA | |
| North Dakota | Other | N715569 |
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