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
Phone: (317) 846-0717
Fax: (317) 846-0557
Website:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1326015900 | NPPES |
| Indiana | MEDICAID | 200250980 |
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