Rita Jean Rose in Warren - Medical

Rita Jean Rose - NPI 1487706859

Rita Jean Rose is a Medical in Warren, Michigan. Rita Jean Rose practices all healthcare services and medical treatments related to Medical. The NPI Number for Rita Jean Rose is 1487706859. The last update date is 2014-03-14.

Rita Jean Rose's current location address is 2104 E. 11 Mile Road, Warren, Michigan. You can contact this provider via phone number 5867586222 and fax number 5867586232. The mailing address for Rita Jean Rose is 2104 E. 11 Mile Road, Warren, Michigan. To know further, please read the information below!

Provider Profile Detail

Provider Name Rita Jean Rose
Address 2104 E. 11 Mile Road, Warren, Michigan
Phone Number 5867586222
Fax Number 5867586232
Sole Proprietor Y
Credentials PA-C

NPI Number Detail

NPI Number 1487706859
Provider Enumeration Date 2007-01-17
Last Updated Date 2014-03-14

Provider Mailing Address Detail

Address 2104 E. 11 Mile Road
City Warren
State Michigan (MI)
Post Code 48091
Phone Number 5867586222
Fax Number 5867586232

Provider's Primary Taxonomy Detail

Speciality Medical
Taxonomy 363Am0700X
Licence No 5601003424
Definition:
A licensed healthcare professional who practices medicine under physician supervision focusing on medical diagnoses and treatment.

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FAQs about Rita Jean Rose

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

The Rita Jean Rose has been issued the NPI (National Provider Identifier) 1487706859 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you provide the complete address where Rita Jean Rose is physically located?

The Rita Jean Rose is situated at the following address: 2104 E. 11 Mile Road, Warren, MI 48091.

What is the area of specialization for Rita Jean Rose, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Rita Jean Rose is Medical, and the corresponding taxonomy code that categorizes this area of expertise is 363Am0700X.

On what date did the Rita Jean Rose receive its 1487706859 assignment from the Centers for Medicare & Medicaid Services?

The Rita Jean Rose was assigned its 1487706859 by the Centers for Medicare & Medicaid Services on 2007-01-17.

As of what date were the Rita Jean Rose's details last updated?

The information pertaining to the Rita Jean Rose, including its address, specialty, and other details, was most recently updated on 2014-03-14.

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