Rose, Shane J

Rose, Shane J is an individual health care provider with primary practice located at 11900 N Pennsylvania Street , Carmel IN 46032-4694. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Rose, Shane J can be contacted via phone (317) 846-0717.

Contact Information

Primary practice address
11900 N Pennsylvania Street Carmel IN 46032-4694
Fax: (317) 846-0557
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 01049705A Indiana

Profile Details

NPI number 1326015900
LBN Legal business name Rose, Shane J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 2nd, 2006
Last updated Feb 16th, 2012 - about 13 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 1326015900 NPPES
Indiana MEDICAID 200250980

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