Michael P Rose in Rockford - Athletic Trainer

Michael P Rose - NPI 1770787509

Michael P Rose is a Athletic Trainer in Rockford, Illinois. Michael P Rose practices all healthcare services and medical treatments related to Athletic Trainer. The NPI Number for Michael P Rose is 1770787509. The last update date is 2008-05-20.

Michael P Rose's current location address is 735 Highgrove Pl, Rockford, Illinois. You can contact this provider via phone number 8152264365 and fax number 8152264589. The mailing address for Michael P Rose is 735 Highgrove Pl, Rockford, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Name Michael P Rose
Address 735 Highgrove Pl, Rockford, Illinois
Phone Number 8152264365
Fax Number 8152264589
Sole Proprietor N
Credentials LAT

NPI Number Detail

NPI Number 1770787509
Provider Enumeration Date 2007-06-14
Last Updated Date 2008-05-20

Provider Mailing Address Detail

Address 735 Highgrove Pl
City Rockford
State Illinois (IL)
Post Code 611082520
Phone Number 8152264365
Fax Number 8152264589

Provider's Primary Taxonomy Detail

Speciality Athletic Trainer
Taxonomy 2255A2300X
Licence No 96001973
Definition:
Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-leve

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FAQs about Michael P Rose

What is the Michael P Rose's unique identification number?

The Michael P Rose has been assigned the NPI (National Provider Identifier) Number 1770787509 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Can you provide the Michael P Rose's physical address?

The Michael P Rose is physically located at 735 Highgrove Pl, in the city of Rockford, IL, with the postal code 611082520.

What is the Michael P Rose's specialty and taxonomy code?

The Michael P Rose's specialty is Athletic Trainer, and the corresponding taxonomy code is 2255A2300X.

On what date did the Michael P Rose receive the assignment of its 1770787509 from the Centers for Medicare & Medicaid Services?

The Michael P Rose was issued its 1770787509 by the Centers for Medicare & Medicaid Services on 2007-06-14.

As of what date were the details pertaining to Michael P Rose last refreshed?

The information related to the Michael P Rose, including its address, specialty, and other relevant details, was last updated on 2008-05-20.

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