Dimitrov, Rosen K

Dimitrov, Rosen K is an individual health care provider with primary practice located at 640 Jackson St , Saint Paul MN 55101-2502. He recently has only one registered license in Allopathic & Osteopathic Physicians / Clinical Pathology/Laboratory Medicine, which is considered as his primary health care specialty. Dimitrov, Rosen K can be contacted via phone (952) 967-7977.

Contact Information

Primary practice address
640 Jackson St Saint Paul MN 55101-2502
Phone: (952) 967-7977
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Clinical Pathology/Laboratory Medicine 207ZP0105X 45659-020 Wisconsin
Allopathic & Osteopathic Physicians / Clinical Pathology/Laboratory Medicine 207ZP0105X 73085 Minnesota
Allopathic & Osteopathic Physicians / Clinical Pathology/Laboratory Medicine 207ZP0105X 01059563A Indiana

Profile Details

NPI number 1841273638
LBN Legal business name Dimitrov, Rosen K
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 25th, 2005
Last updated Aug 10th, 2023 - about 3 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 1841273638 NPPES
Wisconsin MEDICAID 34550200
Wisconsin MEDICAID 200857100

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