Van Dyke, Rose Annette

Van Dyke, Rose Annette is an sole proprietor health care provider with primary practice located at 3649 S Hastings Way T-1774, Eau Claire WI 54701-8182. She recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as her primary health care specialty. Van Dyke, Rose Annette can be contacted via phone (715) 838-0447.

Contact Information

Primary practice address
3649 S Hastings Way T-1774 Eau Claire WI 54701-8182
Phone: (715) 838-0447
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 003887720 Wisconsin
Pharmacy Service Providers / Pharmacist 183500000X 0202207230 Virginia
Pharmacy Service Providers / Pharmacist 183500000X 051039400 Illinois

Profile Details

NPI number 1356638795
LBN Legal business name Van Dyke, Rose Annette
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 6th, 2011
Last updated Jul 15th, 2015 - about 9 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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