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:
Health care specialties
Specialty | Code | License # | 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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