Andrada-Rose, Rachel Joy

Andrada-Rose, Rachel Joy is an individual health care provider with primary practice located at 220 Ragland Rd , Beckley WV 25801-9721. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Andrada-Rose, Rachel Joy can be contacted via phone (304) 252-1509.

Contact Information

Primary practice address
220 Ragland Rd Beckley WV 25801-9721
Phone: (304) 252-1509
Fax: (304) 252-1890
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X WV 3159 West Virginia

Profile Details

NPI number 1952346827
LBN Legal business name Andrada-Rose, Rachel Joy
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 17th, 2006
Last updated Jul 8th, 2007 - about 19 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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Identifiers

StateTypeNumberIssuer
All States NPI 1952346827 NPPES
West Virginia MEDICAID 0134402001

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