Jonathon M Rose in San Carlos - Rehabilitation

Jonathon M Rose - NPI 1154382380

Jonathon M Rose is a Rehabilitation in San Carlos, California. Jonathon M Rose practices all healthcare services and medical treatments related to Rehabilitation. The NPI Number for Jonathon M Rose is 1154382380. The last update date is 2010-07-29.

Jonathon M Rose's current location address is 411 Hillcrest Rd, San Carlos, California. You can contact this provider via phone number 6507034769. The mailing address for Jonathon M Rose is 411 Hillcrest Rd, San Carlos, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Jonathon M Rose
Address 411 Hillcrest Rd, San Carlos, California
Phone Number 6507034769
Fax Number
Sole Proprietor Y
Credentials PH.D.

NPI Number Detail

NPI Number 1154382380
Provider Enumeration Date 2006-03-29
Last Updated Date 2010-07-29

Provider Mailing Address Detail

Address 411 Hillcrest Rd
City San Carlos
State California (CA)
Post Code 940701918
Phone Number 6507034769
Fax Number

Provider's Primary Taxonomy Detail

Speciality Rehabilitation
Taxonomy 103Tr0400X
Licence No PSY12143
Definition:
A psychologist who specializes in the study and application of psychological principles on behalf of persons who have disability due to injury or illness. Rehabilitation psychologists, often within teams, assess and treat cognitive, emotional, and fu

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
PSY121430 CA --

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FAQs about Jonathon M Rose

What is the unique 10-digit identifier code assigned to Jonathon M Rose by the Centers for Medicare & Medicaid Services?

The Jonathon M Rose has been issued the NPI (National Provider Identifier) 1154382380 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Can you provide the Jonathon M Rose's physical address?

The Jonathon M Rose is physically located at 411 Hillcrest Rd, in the city of San Carlos, CA, with the postal code 940701918.

What is the Jonathon M Rose's specialty and taxonomy code?

The Jonathon M Rose's specialty is Rehabilitation, and the corresponding taxonomy code is 103Tr0400X.

On what date was the 1154382380 assigned to Jonathon M Rose?

The Jonathon M Rose was issued its 1154382380 on 2006-03-29, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

As of what date was the information pertaining to Jonathon M Rose, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Jonathon M Rose, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2010-07-29.

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