Rose, Scotty R
Rose, Scotty R is an individual health care provider with primary practice located at 101 S Eisenhower Dr , Beckley WV 25801-4929. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Rose, Scotty R can be contacted via phone (304) 256-7100.Contact Information
Primary practice address
101 S Eisenhower Dr
Beckley WV 25801-4929
Phone: (304) 256-7100
Fax: (304) 256-7111
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 624 | West Virginia |
Profile Details
| NPI number | 1780627885 |
|---|---|
| LBN Legal business name | Rose, Scotty R |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 14th, 2006 |
| Last updated | Jul 16th, 2020 - about 4 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 | 1780627885 | NPPES |
| West Virginia | MEDICAID | 1780627885 |
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